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急性后天性室间隔缺损治疗中的手术考量

Surgical considerations in the treatment of acute acquired ventricular septal defect.

作者信息

Gonzalez-Lavin L, Zajtchuk R

出版信息

Thorax. 1971 Sep;26(5):610-4. doi: 10.1136/thx.26.5.610.

DOI:10.1136/thx.26.5.610
PMID:4943957
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC472357/
Abstract

In the light of our experience and that of others (Oldham , 1969; Iben, Pupello, Stinson, and Shumway, 1969), early surgical closure of acquired ventricular septal defect is advocated. Two successful cases are presented, one after myocardial infarction and one after penetrating trauma to the heart. Description of the present method of repair is presented. Two prosthetic patches are interposed in the closure of the defect. The advantages of this technique are () the key sutures are placed through healthy tissue and are anchored by the two patches, and () an additional suture line along the free edge of the right ventricular patch ensures a complete closure.

摘要

根据我们以及其他人(奥尔德姆,1969年;伊本、普佩洛、斯廷森和舒姆韦,1969年)的经验,主张对后天性室间隔缺损进行早期手术闭合。本文介绍了两例成功病例,一例是心肌梗死后,另一例是心脏穿透伤后。文中介绍了目前的修复方法。在缺损闭合处置入两片人工补片。该技术的优点是:(1)关键缝线穿过健康组织并由两片补片固定;(2)沿右心室补片游离缘的额外缝线确保完全闭合。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e8/472357/4b15f29e4ca3/thorax00119-0120-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e8/472357/53178cba3851/thorax00119-0119-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e8/472357/4b15f29e4ca3/thorax00119-0120-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e8/472357/53178cba3851/thorax00119-0119-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e8/472357/4b15f29e4ca3/thorax00119-0120-a.jpg

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Surgical considerations in the treatment of acute acquired ventricular septal defect.急性后天性室间隔缺损治疗中的手术考量
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本文引用的文献

1
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Surgical repair of ventricular septal defect due to myocardial infarction. Report of a case.心肌梗死所致室间隔缺损的外科修复。病例报告。
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Perforation of the interventricular septum in myocardial infarction. A study based upon an autopsy material.
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