Ishikura Y, Odagiri S, Shimazu A, Yoshimatsu H
Department of Thoracic and Cardiovascular Surgery, School of Medicine, University of Occupational and Environmental Health, Japan.
Jpn J Surg. 1990 Nov;20(6):699-703. doi: 10.1007/BF02471036.
Left ventricular rupture is a rare and usually fatal complication of mitral valve replacement, and we report herein, 2 successfully treated cases of type III left ventricular rupture. The laceration in the posterior ventricular wall was repaired by a wide buttressed mattress suture with teflon felt belts on either side, then covered with Oxycel and fibrin glue or a large patch and fibrin glue. Naturally, the operation must be performed carefully and gently, however, the most important etiologic factor of left ventricular rupture is the extremely friable myocardium due to aging and a long history of heart disease. Utilizing fibrin glue for successfully repairing the rupture proved very effective.
左心室破裂是二尖瓣置换术罕见且通常致命的并发症，我们在此报告2例成功治疗的Ⅲ型左心室破裂病例。后室壁的撕裂伤用宽的带支撑的褥式缝合修复，两侧用特氟龙毡带，然后覆盖氧化纤维素和纤维蛋白胶或一大块补片和纤维蛋白胶。当然，手术必须小心轻柔地进行，然而，左心室破裂最重要的病因是由于衰老和长期心脏病史导致的心肌极度脆弱。利用纤维蛋白胶成功修复破裂证明非常有效。
