John L C, O'Riordan J B
Department of Cardiothoracic Surgery, Brook Hospital, London, United Kingdom.
Ann Thorac Surg. 1996 Feb;61(2):728-30. doi: 10.1016/0003-4975(95)00863-2.
A 55-year-old woman presented with cardiac tamponade after an inferior myocardial infarction. At surgical exploration there was an extensive area of hematoma associated with cardiac rupture. Rather than infarctectomy and ventricular repair an alternative approach was taken. The patient was successfully managed by the placement of a peri-infarct pursestring together with a superficial stitch closing the exit point of the cardiac rupture.
一名55岁女性在发生下壁心肌梗死后出现心脏压塞。手术探查时发现有一大片与心脏破裂相关的血肿。未采用梗死灶切除术和心室修复术,而是采取了另一种方法。通过在梗死灶周围放置荷包缝线并进行浅表缝合封闭心脏破裂的出口点,该患者得到了成功治疗。