Liu Peng, Ren Shiyan, Qian Songyi, Wang Fei
Cardiovascular Center, China-Japan Friendship Hospital, Beijing, China.
Ann Thorac Cardiovasc Surg. 2012;18(4):370-4. doi: 10.5761/atcs.cr.11.01730. Epub 2012 Jan 31.
Multiple cardiac ruptures after radiofrequency catheter ablation that requires surgical repair are uncommon.
We describe a 64-year old male patient with paroxysmal atrial fibrillation who had a cardiac tamponade following radiofrequency ablation. Surgical exploration demonstrated two ruptures in the left atrium, one in the right atrium, and one hematoma in the right atrium. MEDLINE, the Cochrane Library, and related databases were searched up to June 2011 without language restrictions, and related literature was reviewed and discussed. The patient has survived from prompt cardiac repair of cardiac ruptures and recovered from surgery without complications.
Urgent exploratory surgery with cardiopulmonary bypass is the key to salvage the patient.
射频导管消融术后发生多次心脏破裂且需要手术修复的情况并不常见。
我们描述了一名64岁阵发性心房颤动男性患者，其在射频消融术后发生心脏压塞。手术探查发现左心房有两处破裂，右心房有一处破裂及一处血肿。检索了截至2011年6月的MEDLINE、Cochrane图书馆及相关数据库，无语言限制，并对相关文献进行了回顾与讨论。该患者通过及时的心脏破裂修复手术存活下来，术后恢复良好，未出现并发症。
紧急进行体外循环下的探查手术是挽救患者的关键。
