| Autor: |
Maeda, Masanobu, Murase, Mitsuya, Murakami, Humihiko, Teranishi, Katsuhiko |
| Zdroj: |
Asian Cardiovascular & Thoracic Annals; Sep1993, Vol. 1 Issue 3, p116-119, 4p |
| Abstrakt: |
Between October 1987 and September 1991, 357 patients were admitted to Ohgaki Municipal Hospital for acute myocardial infarction. Fifteen patients suffered left ventricular free-wall rupture. Of 7 surgical cases, 4 underwent direct closure, 2 patch closure, and 1 collagen sheet covering with fibrin glue. In 1 case, an additional coronary bypass graft was performed. In 6 cases, the myocardium was sutured under cardiopulmonary bypass, and in 1 case it was sutured in the CCU without cardiopulmonary bypass. Seven of the 15 patients suffering from cardiac rupture underwent surgical repair. The remaining 8 nonsurgical cases died. Six of the 7 surgical cases survived. Left ventricular free-wall rupture is the second most frequent cause of hospital death after myocardial infarction following cardiac failure. The key point in salvage from rupture is frequent examination with echocardiography and early diagnosis at the oozing phase. The most important step in surgery is to perform an immediate cardiopulmonary bypass, especially in the oozing phase before the blowout. In postoperative management, intra-aortic balloon pumping should be required for systolic unloading at the suture line. [ABSTRACT FROM PUBLISHER] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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