Repair of Left Ventricular Free Wall Rupture after Acute Myocardial Infarction: Application of Pericardial Patch Covering and Fibrin Glue Compression: A case report.
- Author:
Sang Ik KIM
1
;
Dong Yoon KUM
;
Kyoung Jun WON
;
Sang Joon OH
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea. 5813031@hananet.net
- Publication Type:Case Report
- Keywords:
Heart ventricular, left;
Myocardial infarction;
Heart rupture
- MeSH:
Aged;
Angioplasty, Balloon, Coronary;
Cardiopulmonary Bypass;
Chest Pain;
Coronary Angiography;
Coronary Artery Bypass;
Echocardiography;
Emergencies;
Female;
Fibrin Tissue Adhesive*;
Fibrin*;
Heart Arrest;
Heart Arrest, Induced;
Heart Rupture*;
Heart Ventricles;
Humans;
Hypokinesia;
Mortality;
Myocardial Infarction*;
Pericardial Effusion;
Polypropylenes;
Running;
Rupture;
Saphenous Vein;
Stents;
Sutures;
Transplants
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2003;36(5):363-366
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Left ventricular rupture after acute myocardial infarction is a serious complication with high mortality. Emergency operation is usually the only available treatment. A 76-year-old female with persistent chest pain and syncopal attacks was admitted. Transthoracic echocardiography showed the pericardial effusion and generalized hypokinesia of the inferolateral wall of left ventricle. Coronary angiography revealed a total occlusion of the first diagonal branch. After percutaneous transluminal coronary angioplasty with coronary stent and insertion of intraaortic balloon pump, emergency operation was performed. Under cardiopulmonary bypass and cardiac arrest with cold blood cardioplegia, coronary artery bypass graft with saphenous vein, pericardial patch covering on the rupture area with 6-0 polypropylene running sutures, and fibrin glue compression under the patch were performed. We present a case of left ventricular (free wall) rupture after acute myocardial infarction.
