Tarichko Y V, Sankar N M
Department of Cardiovascular Surgery, National Research Centre of Surgery, Moscow, USSR.
J Cardiovasc Surg (Torino). 1991 Mar-Apr;32(2):265-7.
During a 20 year period from 1970 to 1989, 1100 patients underwent mitral valve replacement. Rupture of the posterior wall of the left ventricle occurred in seven patients (0.6%); four in the operating room and three in the postoperative room. It was possible to institute CP bypass in six patients and in all of them bleeding was controlled successfully, with repair by an external approach. Only one patient survived. We believe that institution of CP bypass and reinfusion of cardioplegic solution is a major determinant of the outcome.
在1970年至1989年的20年期间，1100例患者接受了二尖瓣置换术。左心室后壁破裂发生在7例患者中（0.6%）；4例发生在手术室，3例发生在术后病房。6例患者能够进行体外循环，并且所有患者的出血均通过外部入路修复成功得到控制。只有1例患者存活。我们认为，体外循环的建立和心脏停搏液的再灌注是预后的主要决定因素。
