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KMID : 0364020080410010095
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Korean Journal of Thoracic and Cardiovascular Surgery
2008 Volume.41 No. 1 p.95 ~ p.97
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Operative Treatment for Cardiac Tamponade with Ventricular Rupture of PostMyocardial Infarction without Cardiopulmonary Bypass-A case report-
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Chei Chang-Seck
Kim Han-Yong
Park Jae-Hong
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Abstract
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Ischemic ventricular rupture is one of the most fatal complications following myocardial infarction, and this requires prompt diagnosis and operation. A 75-year-old female was admitted to the ER in a semicomatous mentality with cyanotic extremities. Cardiac echography was carried out in the ER, and a 1.5∼2 cm thickness of effusion in the pericardium was seen. Because the patient’s heart had declined to 35 times per min, an emergency operation was started while giving cardiac massage. After observing a 1 cm rupture on the right ventricular wall and a necrotic hemorrhagic scar with a rupture on the left ventricular apical wall, repair of the ruptured areas with a large Satinsky clamp was carried out to control bleeding without cardiopulmonary bypass. On the 28th day after surgery, she was discharged home with a minimal degree of dyspnea. (Korean J Thorac Cardiovasc Surg 2008;41:95-97)
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KEYWORD
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Ventricle rupture, , Cardiac tamponade
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