急性心肌梗死合并心源性休克后左心室游离壁破裂的无缝合修复术
Sutureless repair of left ventricular free wall rupture following acute myocardial infarction with cardiogenic shock.
作者信息
Mukkannavar Shivaprasad Babu, Pai Tonse Jayarama, Ramesh Nukavarapu Raja, Radhika Tirumala Kanduri, Dhanasekaran Krishna Shriram
机构信息
Department of Cardiothoracic and Vascular Surgery, Dr. Ramesh Cardiac and Multispeciality Hospital Pvt. Ltd., Vijayawada, 520008 Andhra Pradesh India.
Department of Cardiology, Dr. Ramesh Cardiac and Multispeciality Hospital Pvt. Ltd., Vijayawada, Andhra Pradesh India 520008.
出版信息
Indian J Thorac Cardiovasc Surg. 2023 Nov;39(6):632-635. doi: 10.1007/s12055-023-01572-x. Epub 2023 Aug 15.
We report a case of blow-out-type left ventricular free wall rupture (LVFWR) after acute myocardial infarction, who presented with unstable hemodynamic condition in New York Heart Association (NYHA) functional class IV. Immediately, we performed a successful LVFWR repair with sutureless technique using a glue and expanded polytetrafluoroethylene patch on cardio-pulmonary bypass support. Postoperative period and recovery was uneventful. Over a period of 2-year follow-up, the patient is in NYHA class I and cardiac magnetic resonance imaging showed adequate left ventricular (LV) function and no evidence of LV aneurysm.
我们报告了一例急性心肌梗死后发生的左心室游离壁破裂（LVFWR）的爆裂型病例，该患者表现为纽约心脏协会（NYHA）心功能IV级的不稳定血流动力学状态。我们立即在体外循环支持下，使用胶水和膨体聚四氟乙烯补片，采用无缝合技术成功修复了LVFWR。术后恢复顺利。在为期2年的随访中，患者的心功能为NYHA I级，心脏磁共振成像显示左心室（LV）功能良好，且无LV室壁瘤迹象。
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