Division of Cardiovascular Surgery, Department of Surgery, Chia-Yi Christian Hospital, Chiayi, Taiwan.
Ann Thorac Surg. 2010 Jun;89(6):2030-2. doi: 10.1016/j.athoracsur.2009.10.013.
A 73-year-old diabetic, hypertensive man sustained acute inferolateral wall myocardial infarction 2 days before a syncopal episode, and he was resuscitated on the way to the hospital and during the preoperative examination. An extensive tear of the left posterolateral pericardium with massive left hemothorax and left ventricular free wall rupture with pulsatile bleeding were found during surgery. Iatrogenic pericardial tear due to vigorous cardiac massage could temporarily relieve the pericardial tamponade due to the postinfarction ventricular rupture and allowed the timely surgery to be conducted.
一位 73 岁的糖尿病、高血压男性，在晕厥发作前两天发生急性下外侧壁心肌梗死，在送往医院和术前检查过程中被复苏。手术中发现广泛的左后外侧心包撕裂，大量左侧血胸和左心室游离壁破裂伴有搏动性出血。剧烈心脏按摩导致的心包撕裂可暂时缓解因心肌梗死后心室破裂导致的心包填塞，并使及时手术成为可能。
