改良纤维蛋白封闭剂早期修复梗死后室间隔缺损的方法

S.H. Skotnicki MD, J. Vincent MD, L.K. Lacquet MD
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引用次数: 0

摘要

梗死后室间隔缺损是急性心肌梗死的严重并发症。早期手术修复是治疗的首选。鼻中隔破裂的闭合是一个要求很高的技术问题。我们描述了一种改良技术的经验,使用涤纶贴片、纤维蛋白密封和在未受损的隔膜上连续缝合来关闭缺损。7例患者中,5例存活。1例患者残留少量室间隔缺损。这些初步结果令人鼓舞。
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Modified method of early repair of postinfarction ventricular septal defect using fibrin sealant

Postinfarction ventricular septal defect is a serious complication of acute myocardial infarction. Early surgical repair is the treatment of choice. Closure of the septal rupture is a demanding technical problem. We describe our experience with a modified technique to close the defect using a dacron patch, fibrin sealing, and a continuous suture in the undamaged septum. Of 7 patients, five survived. One patient had a small residual VSD. These initial results are encouraging.

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