Cooley D A
Texas Heart Institute, Houston 77225-0345.
J Card Surg. 1994 Jul;9(4):427-9. doi: 10.1111/j.1540-8191.1994.tb00871.x.
Recently I successfully repaired a necrotic, acute septal defect by modifying the standard intracavitary repair of postinfarction aneurysm. The technique was modified after a patient who had undergone standard intracavitary repair developed a systolic murmur and had to be returned to surgery, where I found that the continuous suture had become detached at the posterior extent of the repair. The pericardial baffle was reattached using interrupted sutures with felt pledgets. As a result of this experience, we have modified our standard intracavitary repair for postinfarction aneurysm to account for the area of necrotic myocardium often associated with acute septal defects.
最近，我通过改良标准的心腔内修复梗死后期动脉瘤的方法，成功修复了一例坏死性急性室间隔缺损。一名接受标准心腔内修复的患者出现了收缩期杂音，不得不再次接受手术，在此过程中我发现连续缝合线在修复部位的后方已经脱落，之后我对该技术进行了改良。使用带毡片的间断缝合线重新固定心包挡板。基于这次经验，我们对梗死后期动脉瘤的标准心腔内修复方法进行了改良，以处理常与急性室间隔缺损相关的坏死心肌区域。
