MANAGEMENT OF EXTENSIVE RIGHT VENTRICULAR INJURY OR RUPTURE

被引:14
作者
SLATER, AD [1 ]
GOTT, JP [1 ]
TOBIN, GR [1 ]
GRAY, LA [1 ]
机构
[1] JEWISH HOSP HEART & LUNG INST, LOUISVILLE, KY USA
关键词
D O I
10.1016/0003-4975(90)90031-Z
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Most penetrating right ventricular injuries require simple suture repair, but more extensive injury or rupture of the right ventricle may not be amenable to this method. We have developed an approach to the problem and a technique for repair. Compression of the area with early institution of cardiopulmonary bypass will result in decompression of the right ventricle and preservation of perfusion, preventing profound hypotension. Coverage with an onlay autologous tissue patch provides hemostatic control of the defect without compromising ventricular function. Reinforcement with omentum or muscle flap can give additional protection when risk of infection is present. Application of these principles can be lifesaving and insure good cardiac function despite massive injury to the right ventricular myocardium. © 1990.
引用
收藏
页码:810 / 813
页数:4
相关论文
共 17 条
[1]  
COHEN M, 1987, ARCH SURG-CHICAGO, V122, P323
[2]  
CULLIFORD AT, 1979, J THORAC CARDIOV SUR, V78, P633
[3]  
ENGELMAN RM, 1979, J THORAC CARDIOV SUR, V77, P757
[4]   PRINCIPLES FOR THE MANAGEMENT OF PENETRATING CARDIAC WOUNDS [J].
EVANS, J ;
GRAY, LA ;
RAYNER, A ;
FULTON, RL .
ANNALS OF SURGERY, 1979, 189 (06) :777-784
[5]  
FRIMPONG-BOATENG K, 1986, Journal of Heart Transplantation, V5, P330
[6]  
Griswold RA, 1942, SURG GYNECOL OBSTET, V74, P406
[7]   THE PECTORALIS MAJOR MYOCUTANEOUS FLAP AND OMENTAL TRANSPOSITION FOR CLOSURE OF INFECTED MEDIAN STERNOTOMY WOUNDS [J].
HERRERA, HR ;
GINSBURG, ME .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1982, 70 (04) :465-470
[8]  
KIRKLIN JW, 1986, CARDIAC SURGERY, P701
[9]  
LEE AB, 1976, SURGERY, V80, P433
[10]   PENETRATING CARDIAC TRAUMA [J].
MARSHALL, WG ;
BELL, JL ;
KOUCHOUKOS, NT .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1984, 24 (02) :147-149