| Autor: |
V, Dottori, L, Barberis, E, Parodi, G, De Gaetano, M, Agostini, M, Giambuzzi, F, Falcone, P, Scoti, G, Venere |
| Rok vydání: |
1992 |
| Předmět: |
|
| Zdroj: |
Giornale italiano di cardiologia. 22(2) |
| ISSN: |
0046-5968 |
| Popis: |
Post-infarction free-wall, papillary muscle and septal myocardium rupture yields a lowering mortality, not only due to the improved surgical technique but also to a more careful selection of surgical candidates. The value of pericardial decompression in cases of free-wall rupture is discussed. Echocardiographic evidence of blood in the pericardium after a myocardial infarction is not a direct indication for a diagnostic sampling, decompression or surgery. Pericardiocentesis is not a risk-free procedure and should be limited to patients with life-threatening acute tamponade. Clinical results of 34 patients operated upon for myocardial rupture, regardless of adopted technique or timing of surgery, confirm that the decision about a patient's operability should follow a careful evaluation of the following risk factors in this order: infarct size, age, cardiogenic shock, multiorgan failure, rupture site, cardiac failure and associated diseases. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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