Ishii Hikaru, Endo Hidehito, Tsuchiya Hiroshi, Inaba Yusuke, Terakawa Katsunari, Kubota Hiroshi
Department of Cardiovascular Surgery, Kyorin University, 6-20-2 Shinkawa, Mitaka, Tokyo, 181-8611, Japan.
Gen Thorac Cardiovasc Surg. 2018 Dec;66(12):753-755. doi: 10.1007/s11748-018-0928-8. Epub 2018 Apr 24.
Left ventricular free wall rupture (LVFWR) is a catastrophic complication of myocardial infarction. In these cases, cardiopulmonary bypass (CPB) should be performed for left ventricular repair, but can impact hemodynamic stability. An 87-year-old man presented with acute shock. He was diagnosed with LVFWR after myocardial infarction. We describe a simple, effective, and reproducible technique to achieve hemostasis at the LVFWR site during emergency operation using Hydrofit and Surgicel surgical hemostatic agents. We simply placed and manually pressed the Hydrofit and Surgicel composite on the bleeding site. This technique provides complete hemostasis without CPB establishment.
左心室游离壁破裂（LVFWR）是心肌梗死的一种灾难性并发症。在这些病例中，应进行体外循环（CPB）以修复左心室，但这可能会影响血流动力学稳定性。一名87岁男性出现急性休克。他在心肌梗死后被诊断为LVFWR。我们描述了一种简单、有效且可重复的技术，即在紧急手术期间使用Hydrofit和Surgicel手术止血剂在LVFWR部位实现止血。我们只需将Hydrofit和Surgicel复合材料放置并手动按压在出血部位。该技术无需建立CPB即可实现完全止血。
