Document Detail


Management of extensive right ventricular injury or rupture.
MedLine Citation:
PMID:  2339938     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
A D Slater; J P Gott; G R Tobin; L A Gray
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  49     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1990 May 
Date Detail:
Created Date:  1990-06-19     Completed Date:  1990-06-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  810-3     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, University of Louisville School of Medicine, Kentucky.
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MeSH Terms
Descriptor/Qualifier:
Aged
Heart Injuries / etiology,  surgery*
Heart Ventricles / injuries
Humans
Intraoperative Complications
Male
Middle Aged
Postoperative Complications
Wounds, Penetrating / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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