Aberg B, Koul B L, Liska J, Brodin L A, Landou C
Scand J Thorac Cardiovasc Surg. 1985;19(3):273-7. doi: 10.3109/14017438509102731.
Rupture of the left ventricular free wall is a not uncommon life-threatening complication of acute myocardial infarction and after prosthetic mitral valve replacement. To our knowledge, no case of left ventricular rupture after coronary artery bypass surgery has been reported. A case is now described in which coronary artery bypass grafting was complicated by delayed rupture, which was successfully repaired. Different etiologic factors are discussed, but the cause considered most likely was trauma from elevation of and traction on the heart in exposure of its posterior aspect.
左心室游离壁破裂是急性心肌梗死和人工二尖瓣置换术后一种并不罕见的危及生命的并发症。据我们所知，冠状动脉旁路移植术后左心室破裂的病例尚未见报道。现描述一例冠状动脉旁路移植术后并发延迟性破裂并成功修复的病例。文中讨论了不同的病因，但最可能的原因被认为是在暴露心脏后表面时心脏抬高和牵引所造成的创伤。
