Management of extensive right ventricular injury or rupture
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 cardiop...
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| Veröffentlicht in: | The Annals of thoracic surgery 1990-05, Vol.49 (5), p.810-813 |
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| container_title | The Annals of thoracic surgery |
| container_volume | 49 |
| creator | Slater, A.David Gott, John P. Tobin, Gordon R. Gray, Laman A. |
| description | 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. |
| doi_str_mv | 10.1016/0003-4975(90)90031-Z |
| format | Article |
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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. 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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.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Heart Injuries - etiology</subject><subject>Heart Injuries - surgery</subject><subject>Heart Ventricles - injuries</subject><subject>Humans</subject><subject>Intraoperative Complications</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Postoperative Complications</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Graft diseases</topic><topic>Surgery of the heart</topic><topic>Wounds, Penetrating - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Slater, A.David</creatorcontrib><creatorcontrib>Gott, John P.</creatorcontrib><creatorcontrib>Tobin, Gordon R.</creatorcontrib><creatorcontrib>Gray, Laman A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Slater, A.David</au><au>Gott, John P.</au><au>Tobin, Gordon R.</au><au>Gray, Laman A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Management of extensive right ventricular injury or rupture</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>1990-05-01</date><risdate>1990</risdate><volume>49</volume><issue>5</issue><spage>810</spage><epage>813</epage><pages>810-813</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><coden>ATHSAK</coden><abstract>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. 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| ispartof | The Annals of thoracic surgery, 1990-05, Vol.49 (5), p.810-813 |
| issn | 0003-4975 1552-6259 |
| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Aged Biological and medical sciences Heart Injuries - etiology Heart Injuries - surgery Heart Ventricles - injuries Humans Intraoperative Complications Male Medical sciences Middle Aged Postoperative Complications Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the heart Wounds, Penetrating - surgery |
| title | Management of extensive right ventricular injury or rupture |
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