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[经皮心肺支持系统成功手术治疗急性心肌梗死后左心室游离壁破裂1例报告]

[A case report of successful surgical treatment of acute postinfarction left ventricular free wall rupture using the percutaneous cardiopulmonary support system].

作者信息

Minatoya K, Okabayashi H, Shimada I, Ohno N, Nishina T, Kameyama T

机构信息

Department of Cardiovascular Surgery, Kokura Memorial Hospital, Kitakyusyu, Japan.

出版信息

Nihon Kyobu Geka Gakkai Zasshi. 1995 Mar;43(3):398-402.

PMID:7769352
Abstract

The percutaneous cardiopulmonary support system (PCPS) was used in a 75-year-old female with a blow out type heart rupture of the posterior wall complicating acute myocardial infarction. The patient was transported to the operating room with the PCPS and IABP in place, and had the ventricular rupture repaired as well as CABG. Although the postoperative cardiac function was satisfactory she sustained ischemic cerebral stroke and went on to die of aspiration pneumonia 166 day later. PCPS buys time to enable surgical repair of the heart, but how to protect the brain remains as a problem to be solved.

摘要

经皮心肺支持系统(PCPS)被用于一名75岁患有后壁爆裂型心脏破裂并伴有急性心肌梗死的女性患者。患者在安装了PCPS和主动脉内球囊反搏(IABP)的情况下被送往手术室,进行了心室破裂修复及冠状动脉旁路移植术(CABG)。尽管术后心脏功能令人满意,但她仍发生了缺血性脑卒,166天后死于吸入性肺炎。PCPS为心脏手术修复争取了时间,但如何保护大脑仍是一个有待解决的问题。

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