Division of Cardiac-Surgery, Istituto di Ricovero e Cura a Carattere Scientifico, Azienda-Ospedaliero-Universitaria di Bologna, Bologna, Italy; Dipartimento di Medicina Specialistica, Diagnostica e Sperimentale, University of Bologna, Bologna, Italy.
Division of Cardiac-Surgery, Istituto di Ricovero e Cura a Carattere Scientifico, Azienda-Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Ann Thorac Surg. 2021 Nov;112(5):e377-e380. doi: 10.1016/j.athoracsur.2021.02.086. Epub 2021 Mar 18.
Postinfarction ventricular septal rupture (VSR) represents a well-known mechanical complication of myocardial infarction, determining cardiogenic shock with high mortality rates. Surgical correction requires significant expertise to avoid cardiac rupture, uncontrollable bleeding, residual shunts, heart failure, and death. In the last year, we observed a substantial increase of VSR at our hospital, related to the delayed presentation of people with acute chest pain to the emergency departments during the coronavirus disease 2019 pandemic. We discuss our innovative triple-layer patch technique in a recent consecutive series of 8 patients. This technique proved effective in all patients, with no residual shunt or cardiac rupture.
心肌梗死后室间隔破裂（VSR）是心肌梗死的一种已知机械并发症，可导致心源性休克，死亡率较高。外科矫正需要高度专业知识，以避免心脏破裂、无法控制的出血、残余分流、心力衰竭和死亡。在过去的一年中，我们观察到我们医院的 VSR 显著增加，这与 2019 年冠状病毒病大流行期间急性胸痛患者到急诊科就诊的时间延迟有关。我们在最近连续的 8 例患者中讨论了我们的创新三层补丁技术。该技术在所有患者中均有效，无残余分流或心脏破裂。
