|
|
||||||||
Ann Thorac Surg 1990;49:810-813
© 1990 The Society of Thoracic Surgeons
Department of Surgery, University of Louisville School of Medicine, and the Jewish Hospital Heart and Lung Institute, Louisville, Kentucky, USA
Accepted for publication January 15, 1990.
* Address reprint requests to Dr Slater, Department of Surgery, University of Louisville, 550 South Jackson St, Louisville, KY 40292.
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.
This article has been cited by other articles:
![]() |
T. J. Francel and N. T. Kouchoukos A rational approach to wound difficulties after sternotomy: the problem Ann. Thorac. Surg., October 1, 2001; 72(4): 1411 - 1418. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. Szerafin, O. Jaber, and A. Peterffy Repair of right ventricular rupture complicating mediastinitis Ann. Thorac. Surg., November 1, 1999; 68(5): 1892 - 1893. [Full Text] [PDF] |
||||
![]() |
H. C. Suen and H. B. Barner Repair of right ventricular rupture complicating mediastinitis Ann. Thorac. Surg., December 1, 1998; 66(6): 2115 - 2116. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Kalangos, N. Jornod, R. Rognon, and B. Faidutti Successful Repair of a Right Ventricular Rupture at the Atrioventricular Groove Ann. Thorac. Surg., March 1, 1996; 61(3): 995 - 997. [Abstract] [Full Text] |
||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |