Surgical correction of complete rupture of the anterior papillary muscle.
Surgical correction of complete rupture of the anterior papillary muscle.
复制标题
前乳头肌完全断裂的手术矫正。
DOI：
10.1016/s0003-4975(10)61381-1
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发表时间：
1981
期刊：
影响因子：
--
通讯作者：
M. Yacoub
中科院分区：
文献类型：
--
作者：
G. Gula;M. Yacoub
一个59岁的病人与梗死后完全破裂的前乳头肌和大量二尖瓣返流的描述。临床上怀疑诊断，并通过超声心动图和心导管检查证实。急性发作后两个月，患者接受了保留瓣膜手术，将乳头肌重新附着到左心室壁。术后3年，患者状况良好且无症状，二尖瓣病变的解剖和功能矫正良好。这种类型的修复应该是可能的，在选定的患者与这种病变。
A 59-year-old patient with postinfarction complete rupture of the anterior papillary muscle and massive mitral regurgitation is described. The diagnosis was suspected clinically and confirmed by echocardiography and cardiac catheterization. Two months after the acute episode, the patient underwent a valve-conserving procedure by reattachment of the papillary muscle to the left ventricular wall. The patient is well and asymptomatic 3 years after operation with evidence of good anatomical and functional correction of the mitral valve lesion. This type of repair should be possible in selected patients with this lesion.