Pappas P J, Cernaianu A C, Baldino W A, Cilley J H, DelRossi A J
Division of Cardiothoracic Surgery, Cooper Hospital/University Medical Center, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, Camden.
Chest. 1991 Apr;99(4):892-5. doi: 10.1378/chest.99.4.892.
Ventricular free-wall rupture remains one of the leading causes of death after myocardial infarction (MI). With increased abilities for diagnosis and resuscitation techniques, surgical correction of free-wall myocardial defects resulting from ischemia and necrosis may become a simple modality of treatment, resulting in improvement of the survival rate. We are reporting our experience with four patients with ventricular free-wall rupture after MI, with emphasis on clinical presentation, diagnosis, and surgical management.
心室游离壁破裂仍然是心肌梗死(MI)后主要的死亡原因之一。随着诊断能力和复苏技术的提高,对因缺血和坏死导致的游离壁心肌缺损进行手术矫正可能会成为一种简单的治疗方式,从而提高生存率。我们报告了4例心肌梗死后心室游离壁破裂患者的治疗经验,重点关注临床表现、诊断和手术治疗。