梗死后室间隔破裂的外科治疗

Tirone E. David MD
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引用次数: 9

摘要

描述了一种治疗梗死后室间隔破裂的新手术技术。它包括排除而不是切除坏死的室间隔和心室壁。这是通过连续的4-0聚丙烯缝线将单片牛心包固定在左心室健康的心内膜上完成的。19例患者接受手术,一例手术死亡。没有斑块性动脉瘤或间隔缺损复发。
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Surgical treatment of postinfarction ventricular septal rupture

A novel operative technique for the treatment of postinfarction ventricular septal rupture is described. It consists of excluding rather than excising the necrotic septum and ventricular wall. This is accomplished with a single patch of bovine pericardium secured to healthy endocardium of the left ventricle with a continuous 4-0 polypropylene suture. Nineteen patients have been operated on with only one operative death. There has been no patch aneurysm or recurrence of the septal defect.

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