Post-infarction cardiac rupture: surgical treatment
| Autor: | Vincenzo Lepore, Vittorio Mantovani, Davide Vanoli, Sandro Ferrarese, Andrea la Sala, Paolo Chelazzi |
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| Rok vydání: | 2002 |
| Předmět: |
Pulmonary and Respiratory Medicine
Male medicine.medical_specialty Heart Rupture Coronary artery bypass surgery Medicine Humans Myocardial infarction Hospital Mortality Cardiac Surgical Procedures Coronary Artery Bypass Survival rate Aged Heart Rupture Post-Infarction Surgical repair business.industry Cardiac Rupture General Medicine Middle Aged medicine.disease Surgery Survival Rate medicine.anatomical_structure Treatment Outcome Female Cardiology and Cardiovascular Medicine business Complication Pericardium Artery Follow-Up Studies |
| Zdroj: | European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery. 22(5) |
| ISSN: | 1010-7940 |
| Popis: | Objective Rupture of ventricular free wall (VFWR) may complicate acute myocardial infarction and accounts for high mortality. Surgical repair is the only therapeutic option. A review of our surgical experience is presented. Methods Seventeen patients (11 men, mean age 68 years) underwent surgery for VFWR. Patch covering technique was used in 13 patients, infarctectomy with patch reconstruction in three patients, direct suture without patch in one patient. Coronary artery bypass grafting was performed in eleven patients. Results Hospital mortality was 17.6% (three patients). Three patients died of cancer during the follow-up. The remaining 11 patients are in good condition after a mean follow-up of 45.8 months (range 7.5-84.2). Conclusions Postinfarction rupture of ventricular free wall treated surgically gives excellent long-term results. Our first choice for repair is the covering technique with a large pericardial patch anchored with biological glue and epicardial sutures. |
| Databáze: | OpenAIRE |
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