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胸骨裂开后自发性右心室破裂的修复。一种新技术。

Repair of spontaneous right ventricular rupture following sternal dehiscence. A novel technique.

作者信息

Efthymiou Christopher Andrew, Kay Philip Haworth, Nair Unnikrishnan R

机构信息

Department of Cardiothoracic Surgery, Leeds General Infirmary, Great George Street, Leeds, LS1 3EX, UK.

出版信息

Interact Cardiovasc Thorac Surg. 2010 Jan;10(1):12-3. doi: 10.1510/icvts.2009.217810. Epub 2009 Oct 1.

DOI:10.1510/icvts.2009.217810
PMID:19797477
Abstract

Spontaneous rupture of the right ventricle during the early postoperative period is a serious and potentially lethal complication. The inherent friability of the ventricular tissue makes repair difficult since myocardium is frequently weakened by infarction, mediastinitis or trauma caused by an unstable sternum or broken sternal wires. We present a novel yet simple technique for repairing the ruptured anterior wall of the right ventricle in a patient three weeks following coronary artery bypass surgery.

摘要

术后早期右心室自发性破裂是一种严重且可能致命的并发症。心室组织固有的脆弱性使得修复困难,因为心肌常常因梗死、纵隔炎或不稳定胸骨或断裂胸骨钢丝所致的创伤而变得薄弱。我们展示了一种新颖且简单的技术,用于在冠状动脉搭桥手术后三周的一名患者中修复右心室破裂的前壁。

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Repair of spontaneous right ventricular rupture following sternal dehiscence. A novel technique.胸骨裂开后自发性右心室破裂的修复。一种新技术。
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