心肌梗死后左心室游离壁破裂的无缝合修复技术。
Sutureless repair techniques for post-infarction left ventricular free wall rupture.
作者信息
Okamura Homare
机构信息
Department of Cardiovascular Surgery, Nerima Hikarigaoka Hospital, Tokyo, Japan.
出版信息
Ann Cardiothorac Surg. 2022 May;11(3):268-272. doi: 10.21037/acs-2021-ami-165.
Abstract
Left ventricular free wall rupture after acute myocardial infarction is uncommon but lethal and is still associated with high mortality rates. This paper presents the surgical treatment options and clinical management for post-infarction left ventricular free wall rupture. Various types of techniques, specifically sutureless repair using TachoComb/TachoSil, and intraoperative video images are discussed. Currently, sutureless repair is the most recommended treatment option when possible. However, appropriate selection of the surgical procedure remains important.
摘要
急性心肌梗死后左心室游离壁破裂虽不常见但却致命，且死亡率仍然很高。本文介绍了心肌梗死后左心室游离壁破裂的手术治疗选择和临床处理方法。文中讨论了各种技术，特别是使用速即纱/速即固进行无缝合修复以及术中视频图像。目前，尽可能采用无缝合修复是最推荐的治疗选择。然而，正确选择手术方式仍然很重要。
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