Operative Treatment for Cardiac Tamponade with Ventricular Rupture of PostMyocardial Infarction without Cardiopulmonary Bypass: A case report / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 95-97, 2008.
Article
in Korean
| WPRIM
| ID: wpr-62285
ABSTRACT
Ischemic ventricular rupture is one of the most fatal complications following myocardial infarction, and this requires prompt diagnosis and operation. A 75-year-old female was admitted to the ER in a semicomatous mentality with cyanotic extremities. Cardiac echography was carried out in the ER, and a 1.5~2 cm thickness of effusion in the pericardium was seen. Because the patient's heart had declined to 35 times per min, an emergency operation was started while giving cardiac massage. After observing a 1 cm rupture on the right ventricular wall and a necrotic hemorrhagic scar with a rupture on the left ventricular apical wall, repair of the ruptured areas with a large Satinsky clamp was carried out to control bleeding without cardiopulmonary bypass. On the 28th day after surgery, she was discharged home with a minimal degree of dyspnea.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pericardium
/
Rupture
/
Cardiac Tamponade
/
Cardiopulmonary Bypass
/
Cicatrix
/
Emergencies
/
Extremities
/
Heart
/
Heart Massage
/
Hemorrhage
Limits:
Aged
/
Female
/
Humans
Language:
Korean
Journal:
The Korean Journal of Thoracic and Cardiovascular Surgery
Year:
2008
Type:
Article
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