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无缝合心包补片增强术治疗左心室游离壁即将破裂

Sutureless pericardial patch augmentation for impending left ventricular free wall rupture.

作者信息

Galvin Sean, Chen Victor, Bunton Richard, Doyle Terence

机构信息

Department of Cardiothoracic Surgery, Dunedin Hospital, Private Bag 1921, Dunedin, New Zealand.

出版信息

Interact Cardiovasc Thorac Surg. 2010 Feb;10(2):341-3. doi: 10.1510/icvts.2009.217125. Epub 2009 Nov 11.

Abstract

Left ventricular rupture may occur as a complication of acute myocardial infarction and is associated with significant morbidity and mortality. The risk associated with impending rupture of the left ventricular free wall has not been quantified but it is likely a predisposing factor to complete rupture. Few cases of impending rupture of the left ventricular free wall have been discussed in the literature; we present one such case and describe simple operative management with an autologous pericardial patch and subsequent outcome.

摘要

左心室破裂可能作为急性心肌梗死的并发症出现,并且与显著的发病率和死亡率相关。左心室游离壁即将破裂的相关风险尚未量化,但它可能是完全破裂的一个诱发因素。文献中很少讨论左心室游离壁即将破裂的病例;我们报告这样一例病例,并描述用自体心包补片进行的简单手术处理及随后的结果。

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