| Subacute cardiac rupture: repair with a sutureless technique. | |
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MedLine Citation:
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PMID: 8417684 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Thirteen patients with ages between 53 and 74 years had development of free wall left ventricular rupture after a myocardial infarction (mean interval, 3.8 days). All patients showed clinical signs of cardiac tamponade. Diagnosis was established by bedside multiple pressure monitoring and echocardiography, which showed pericardial effusion with compression of the right ventricle. Cardiac catheterization was not performed. A new surgical technique was employed for the repair. After the pericardium was opened and cardiac tamponade was relieved, the myocardial tear was identified. A Teflon patch was applied over the area and glued to the heart surface with a surgical glue (cyanoacrylate). Cardiopulmonary bypass was not used except in a patient with a posterior tear. The method was consistently effective in controlling bleeding from the myocardial tear. All patients survived the operation and were discharged from the hospital a mean of 15 days after the operation. Follow-up extending up to 5 years (mean, 26 months) shows a 100% survival, 11 asymptomatic patients, and 2 patients with mild exertional angina. The technique is a simple, effective, and safe method for repair of subacute cardiac rupture and obviates the need for suturing on an infarcted ventricle. |
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Authors:
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J M Padró; J M Mesa; J Silvestre; J L Larrea; J M Caralps; F Cerrón; A Aris |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Annals of thoracic surgery Volume: 55 ISSN: 0003-4975 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 1993 Jan |
Date Detail:
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Created Date: 1993-01-26 Completed Date: 1993-01-26 Revised Date: 2007-11-15 |
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: 20-3; discussion 23-4 Citation Subset: AIM; IM |
Affiliation:
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Cardiac Surgery Unit, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Blood Vessel Prosthesis* Enbucrilate / therapeutic use* Female Heart Rupture, Post-Infarction / mortality, physiopathology, surgery* Heart Ventricles / physiopathology, surgery Hemodynamics / physiology* Humans Male Middle Aged Myocardial Contraction / physiology Postoperative Complications / mortality, physiopathology* Wound Healing / physiology |
| Chemical | |
Reg. No./Substance:
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6606-65-1/Enbucrilate |
| Comments/Corrections | |
Comment In:
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Ann Thorac Surg. 2002 Jul;74(1):294-5; author reply 295-6
[PMID:
12118791
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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