有食道重建史的左开胸术治疗室间隔破裂1例。

IF 0.6 4区医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL

Acta medica Okayama Pub Date : 2024-12-01 DOI:10.18926/AMO/67870

Gentaro Kato, Tatsuya Ogawa, Tomohiro Hayashida, Shuji Shimizu, Shu Yamamoto, Takeshi Shichijo

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引用次数: 0

摘要

患者73岁，8年前因食管癌行食管切除术及胸骨后胃管重建术，因急性心肌梗死转至我院治疗。急诊经皮冠状动脉介入治疗左侧前降支（#7）成功完成。然而，超声心动图显示室间隔破裂（25×27 mm）。入院17天后，为避免手术损伤胸骨后胃管，我们成功地通过左前外侧开胸行双补片缝合。确定最佳的心脏手术入路对食道重建后患者的心脏手术安全至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Closure of Ventricular Septal Rupture through a Left Thoracotomy in a Patient with a History of Esophageal Reconstruction.

A 73-year-old man who had undergone esophagectomy and retrosternal gastric tube reconstruction for esophageal cancer 8 years prior was transferred to our hospital for the treatment of an acute myocardial infarction. Emergent percutaneous coronary intervention for the left anterior descending artery (#7) was successfully performed. However, echocardiography revealed a ventricular septal rupture (25×27 mm). Seventeen days after admission, the rupture was successfully treated with a double-patch closure via a left anterolateral thoracotomy to avoid a surgical injury to his retrosternal gastric tube. Determining the best surgical approach to the heart is important for safe cardiac surgery in patients after esophageal reconstruction.

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来源期刊

Acta medica Okayama 医学-医学：研究与实验

CiteScore

1.00

自引率

0.00%

发文量

110

审稿时长

6-12 weeks

期刊介绍： Acta Medica Okayama (AMO) publishes papers relating to all areas of basic and clinical medical science. Papers may be submitted by those not affiliated with Okayama University. Only original papers which have not been published or submitted elsewhere and timely review articles should be submitted. Original papers may be Full-length Articles or Short Communications. Case Reports are considered if they describe significant and substantial new findings. Preliminary observations are not accepted.