Deschka Heinz, Machner Matthias, Wimmer-Greinecker Gerhard
Department of Cardiothoracic Surgery, Heart and Vessel Center Bad Bevensen, Bad Bevensen, Germany.
Thorac Cardiovasc Surg. 2013 Apr;61(3):261-3. doi: 10.1055/s-0032-1327761. Epub 2012 Dec 20.
Right ventricular rupture after open heart surgery is a rare but severe postoperative complication. In most cases, right ventricular bleeding is associated with mediastinitis and either directly caused by inflammatory processes or iatrogenically through penetration of dehiscent sternal edges or vacuum-assisted closure therapy. We describe a case of right ventricular rupture due to osseous arrosion in a closed chest in the absence of mediastinitis which led to the creation of a massive presternal false aneurysm.
心脏直视手术后右心室破裂是一种罕见但严重的术后并发症。在大多数情况下，右心室出血与纵隔炎相关，要么直接由炎症过程引起，要么通过裂开的胸骨边缘穿透或负压封闭引流治疗医源性导致。我们描述了一例在无纵隔炎的情况下因闭合胸腔内骨质侵蚀导致右心室破裂的病例，该病例导致了巨大的胸骨前假性动脉瘤形成。
