Repair of spontaneous right ventricular rupture following sternal dehiscence. A novel technique.
Spontaneous rupture of the right ventricle during the early postoperative period is a serious and potentially lethal complication. The inherent friability of the ventricular tissue makes repair difficult since myocardium is frequently weakened by infarction, mediastinitis or trauma caused by an unstable sternum or broken sternal wires. We present a novel yet simple technique for repairing the ruptured anterior wall of the right ventricle in a patient three weeks following coronary artery bypass surgery.
Efthymiou
Christopher Andrew
CA
Department of Cardiothoracic Surgery, Leeds General Infirmary, Great George Street, Leeds, LS1 3EX, UK.
Kay
Philip Haworth
PH
Nair
Unnikrishnan R
UR
D000818:Animals; D001864:Bone Wires; D002417:Cattle; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D004868:Equipment Failure; D006341:Heart Rupture / Q000209:etiology / Q000601:surgery; D006352:Heart Ventricles / Q000293:injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010496:Pericardium / Q000637:transplantation*; D012086:Reoperation; D056346:Sternotomy / Q000009:adverse effects* / Q000295:instrumentation; D013529:Surgical Wound Dehiscence / Q000209:etiology / Q000601:surgery*; D013536:Suture Techniques; D016896:Treatment Outcome