Teflon-buttressed sutures plus pericardium patch repair left ventricular rupture caused by radiofrequency catheter ablation
| Autor: | Qi Zhang, Xiaodong Feng, Yanzhong He, Hao Cao, Zhongmin Liu |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Heart Ventricles surgical treatment radiofrequency catheter ablation 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine left ventricular rupture Internal medicine Humans case report Medicine Pericardium Clinical Case Report cardiovascular diseases 030212 general & internal medicine Myocardial infarction Cardiac Surgical Procedures Polytetrafluoroethylene Ventricular Septal Rupture Cardiopulmonary Bypass Sutures business.industry Patch repair Mortality rate Cardiac Rupture General Medicine Middle Aged medicine.disease Cardiac Tamponade Surgery medicine.anatomical_structure Radiofrequency catheter ablation Catheter Ablation cardiovascular system Cardiology business Research Article |
| Zdroj: | Medicine |
| ISSN: | 0025-7974 |
| DOI: | 10.1097/md.0000000000004933 |
| Popis: | Background: Cardiac rupture often occurs after myocardial infarction or chest trauma with a high mortality rate. However, left ventricular rupture caused by radiofrequency catheter ablation (RFCA) is extremely rare. Methods: We describe a case of a 61-year-old male who survived from left ventricular rupture caused by a RFCA procedure for frequent ventricular premature contractions. Surgical exploration with cardiopulmonary bypass (CPB) was performed when the signs of cardiac tamponade developed 7 hours after the ablation surgery. Results: Teflon-buttressed sutures of the tear in the left ventricular posterolateral wall and pericardium patch applied to the contusion region on the wall repaired the rupture safely and effectively. Conclusion: Timely surgical intervention under CPB facilitated the survival of the patient. Teflon-buttressed sutures plus pericardium patch achieved the successful repair of the rupture. |
| Databáze: | OpenAIRE |
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