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首页> 外文期刊>Journal of cardiac surgery. >Left ventricular free wall rupture detected by multidetector computed tomography after mitral valve replacement.
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Left ventricular free wall rupture detected by multidetector computed tomography after mitral valve replacement.

机译:在二尖瓣置换后,通过多台计算机断层扫描技术检测到左心室游离壁破裂。

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摘要

A 77-year-old male developed hemodynamic instability seven days following a mitral valve replacement with a #27 mm St Jude mechanical prosthesis (St. Jude Medical, St. Paul, MN, USA). Transthoracic echocar-diography showed only a 10-mm pericardial effusion, but multidetector computed tomography (MDCT) identified a posterior free wall rupture of the left ventricle (Fig. 1). The patient underwent emergent repair of the rupture using pledgeted mattress sutures and fibrin glue. He tolerated the procedure well and has no evidence of a pseudoaneurysm six months following surgery.
机译:一名77岁男性在用27 mm的St Jude机械假体(美国犹他州圣保罗的圣裘德医疗公司)二尖瓣置换术后7天出现了血液动力学不稳定。经胸超声心动图检查仅显示出10 mm心包积液,但多探测器计算机断层扫描(MDCT)确认左心室后壁游离破裂(图1)。该患者使用已承诺的床垫缝合线和纤维蛋白胶进行了破裂的紧急修复。他对手术的耐受性很好,并且在手术后六个月没有假性动脉瘤的迹象。

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