| Delayed left ventricular rupture secondary to transatrial left ventricular vent. | |
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MedLine Citation:
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PMID: 7065779 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The cases of 2 patients with delayed ventricular rupture secondary to ventricular venting through the left atrium during myocardial revascularization are reported. Both patients were weaned from cardiopulmonary bypass without difficulty and were transported to the intensive care unit in good condition. Rupture occurred in one patient two hours later and in the other, approximately twelve hours postoperatively; both patients died. Both patients were short in stature, and it is possible that advancing the catheter to the first guide mark left the tip unusually close to the ventricular apex. As the catheter cooled and hardened and as the heart was retracted, the catheter may have been pushed against the apical endocardium, thereby producing undetectable subendocardial damage. Our experience with these 2 patients has led us to become more selective in venting for coronary bypass operations. When venting is necessary, we insert the catheter so that its tip barely enters the ventricle. |
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Authors:
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R H Breyer; S Lavender; A R Cordell |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Annals of thoracic surgery Volume: 33 ISSN: 0003-4975 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 1982 Feb |
Date Detail:
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Created Date: 1982-05-12 Completed Date: 1982-05-12 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 189-91 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Body Height Female Heart Catheterization / adverse effects* Heart Injuries / etiology* Heart Ventricles / injuries Humans Middle Aged Myocardial Revascularization* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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