Arnold P G, Pairolero P C
Section of Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, Minn.
Plast Reconstr Surg. 1988 Jun;81(6):831-7. doi: 10.1097/00006534-198806000-00001.
Ten patients with real or threatened hemorrhage from either the heart or the great vessels secondary to infection or radiation necrosis (or both) underwent vascular closure techniques followed by reinforcement using an intrathoracic muscle flap. Three patients died during initial hospitalization, two from recurrent bleeding. The other seven patients survived a median of 23.7 months, and none had evidence of infection or bleeding. In patients who have real or impending hemorrhage from the heart or great vessels associated with infection, strong consideration should be given to the intrathoracic transposition of an extrathoracic muscle.
10例因感染或放射性坏死（或两者兼有）继发心脏或大血管实际出血或有出血风险的患者接受了血管闭合技术，随后使用胸内肌瓣进行加固。3例患者在初次住院期间死亡，2例死于再次出血。其他7例患者存活时间中位数为23.7个月，均无感染或出血迹象。对于因感染而出现心脏或大血管实际出血或即将出血的患者，应充分考虑将胸外肌肉移位至胸内。
