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经皮心包腔内注入纤维蛋白胶成功治疗心室破裂：一例报告

Successful therapy of ventricular rupture by percutaneous intrapericardial instillation of fibrin glue: a case report.

作者信息

Willecke Florian, Bode Christoph, Zirlik Andreas

机构信息

University Heart Center Freiburg, Cardiology and Angiology I, 79106 Freiburg, Germany.

出版信息

Case Rep Vasc Med. 2013;2013:412341. doi: 10.1155/2013/412341. Epub 2013 Jun 27.

DOI:10.1155/2013/412341
PMID:23936725
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3712242/
Abstract

Rupture of the ventricular myocardium is an often lethal complication after myocardial infarction. Due to the dramatic hemodynamics and the short time frame between ventricular rupture and surgical closure of the defect, additional therapeutic strategies are needed. Here we report the successful therapy of ventricular rupture by percutaneous intrapericardial instillation of fibrin glue in a 72-year-old male patient with postinfarct angina secondary to anterior myocardial infarction.

摘要

心室心肌破裂是心肌梗死后一种常致命的并发症。由于其显著的血流动力学变化以及心室破裂至手术闭合缺损之间的时间很短，因此需要额外的治疗策略。在此，我们报告了一名72岁男性患者，因前壁心肌梗死继发梗死后心绞痛，通过经皮心包内注射纤维蛋白胶成功治疗心室破裂的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27fa/3712242/9d1f96ec7773/CRIM.VASMED2013-412341.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27fa/3712242/a455877545fb/CRIM.VASMED2013-412341.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27fa/3712242/9d1f96ec7773/CRIM.VASMED2013-412341.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27fa/3712242/a455877545fb/CRIM.VASMED2013-412341.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27fa/3712242/9d1f96ec7773/CRIM.VASMED2013-412341.002.jpg

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引用本文的文献

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本文引用的文献

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Cardiac rupture after myocardial infarction: new insights from murine models.心肌梗死后心脏破裂：来自小鼠模型的新见解。
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Changes in hospital mortality rates in 425 patients with acute ST-elevation myocardial infarction and cardiac rupture over a 30-year period.
425例急性ST段抬高型心肌梗死合并心脏破裂患者30年间医院死亡率的变化。
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Outcome of percutaneous intrapericardial fibrin-glue injection therapy for left ventricular free wall rupture secondary to acute myocardial infarction.经皮心包内注射纤维蛋白胶治疗急性心肌梗死继发左心室游离壁破裂的疗效
Am J Cardiol. 2008 Feb 15;101(4):419-21. doi: 10.1016/j.amjcard.2007.09.086.
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Long-term usefulness of percutaneous intrapericardial fibrin-glue fixation therapy for oozing type of left ventricular free wall rupture: a case report.
Circ J. 2002 Jul;66(7):705-6. doi: 10.1253/circj.66.705.
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Oozing type cardiac rupture repaired with percutaneous injection of fibrin-glue into the pericardial space: case report.
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