書誌事項
- タイトル別名
-
- Two Clinical Cases of Subacute Postinfarction Rupture of the Left Ventricular Free Wall. The Usefulness of a Sutureless Technique.
- THE USEFULNESS OF A SUTURELESS TECHNIQUE
- sutureless techniqueの有用性
この論文をさがす
抄録
The life-saving rate of acute postinfarction rupture of the left ventricular free wall is very low, and early diagnosis and maintenance of circulatory dynamics until surgery are extremely important, regardless of the acute (blow-out) or subacute (oozing) type. Thus we not only perform surgery as soon as possible after diagnosis, but also promptly install a cardiopulmonary supporting device, such as a PCPS, in the cases with unstable circulatory dynamics. We repaired the ruptured site of beating heart using a suture technique in one case with subacute postinfarction rupture and using a sutureless technique in another. In the former case, the myocardium was injured by ligation. This case eventually required extracorporeal circulation and re-suture, and caused difficulty with bleeding control. By contrast, the latter case showed an uneventful postoperative course. It is thought that sutureless technique may be sufficient even for slitting rupture if enough decompression of the left ventricle is attained by using some cardiopulmonary supporting device and good bleeding control is kept.
収録刊行物
-
- 日本臨床外科学会雑誌
-
日本臨床外科学会雑誌 62 (10), 2386-2389, 2001
日本臨床外科学会
- Tweet
キーワード
詳細情報
-
- CRID
- 1390282679821676288
-
- NII論文ID
- 130003602227
- 10008390578
-
- NII書誌ID
- AA11189709
-
- ISSN
- 18825133
- 13452843
-
- 本文言語コード
- ja
-
- データソース種別
-
- JaLC
- Crossref
- CiNii Articles
-
- 抄録ライセンスフラグ
- 使用不可