Surgical Treatment of Postinfarct Ventricular Double Rupture: A case report.
- Author:
Wan Ki BAEK
1
;
Young Sam KIM
;
Young Han YOON
;
Joung Taek KIM
;
Kwang Ho KIM
;
Hyun Kyoung LIM
;
Jun KWAN
Author Information
1. Department of Thoracic and Cardiovascular Surgery, College of Medicine, Inha University. wkbaek@inha.ac.kr
- Publication Type:Case Report
- Keywords:
Heart septal defects;
Myocardial infanction;
Heart ventricle;
Ventricular rupture
- MeSH:
Brain Injuries;
Cardiac Tamponade;
Cardiopulmonary Bypass;
Cardiopulmonary Resuscitation;
Catheters;
Echocardiography;
Heart Arrest;
Heart Septal Defects;
Heart Ventricles;
Humans;
Middle Aged;
Myocardial Infarction;
Rupture*;
Shock;
Thorax;
Ventricular Septal Rupture
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2005;38(10):717-720
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Here we report a case of posterior left ventricular (LV) free wall rupture following postinfarct ventricular septal rupture (VSR). A 58-year-old man was transferred to the hospital under the impression of acute myocardial infarction. Posterior VSR was seen on echocardiographic examination. The intraaortic balloon pump catheter was introduced percutaneously and the emergent operation was proposed. Sudden circulatory collapse was developed shortly after the anesthetic induction and the patient's chest was hurriedly opened while on cardiopulmonary resuscitation. The acute cardiac tamponade was seen and the blood was seen pumping from the longitudinal tear at the mid-level of LV posterior wall, measuring 2 cm in length. The cardiopulmonary bypass was set and LV reconstruction was done. The postoperative recovery was delayed due to the brain injury presumably caused by preoperative cardiac arrest.
