Successful Surgical Repair Case of Cardiac Rupture after Acute Myocardial Infarction
10.4326/jjcvs.38.22
- VernacularTitle:急性心筋梗塞後左室自由壁破裂の1救命例
- Author:
Katsuo Matsuki
;
Hidenori Fujiwara
- Publication Type:Journal Article
- Keywords:
PCPS;
IABP
- From:Japanese Journal of Cardiovascular Surgery
2009;38(1):22-25
- CountryJapan
- Language:Japanese
-
Abstract:
Blow-out type cardiac rupture after acute myocardial infarction (AMI) is usually a fatal complication. We report the case of a 64-year-old man, admitted to our hospital for AMI with cardiac shock. ECG and echocardiography showed a cardiac rupture after anterior AMI. We performed an emergency operation with a percutaneous cardiopulmonary support system (PCPS) and intra-aortic balloon pumping (IABP). The actively bleeding site, located at the anterior wall, was approximated using a large mattress suture with felt strips to close the rupture site, and the site was covered with fibrin glue. The patient was discharged on POD 48. We report a successful surgery for a case of blow-out type cardiac rupture after AMI.
