A Case of Pseudoaneurysm of the Left Ventricle after Patch-and-Glue Repair of Postinfarction Left Ventricle Free Wall Rupture
10.4326/jjcvs.38.323
- VernacularTitle:急性心筋梗塞後左室自由壁破裂に対し Patch-and-Glue Repair 術後遠隔期に左室仮性瘤を発症した1例
- Author:
Hiroyuki Suzuki
;
Toshihiro Fujimatsu
;
Hajime Oosawa
;
Fumie Takai
;
Masaki Hashimoto
- Publication Type:Journal Article
- Keywords:
Patch-and-Glue Repair;
Sutureless Repair
- From:Japanese Journal of Cardiovascular Surgery
2009;38(5):323-326
- CountryJapan
- Language:Japanese
-
Abstract:
We report a case of surgical treatment for pseudoaneurysm 4 years after Patch-and-Glue Repair of left ventricle free wall rupture (LVFWR) due to acute myocardial infarction (AMI) in 2004 in a 74-year-old woman, she had been followed in our hospital. And 2 years later, echocardiography and MRI showed a pseudoaneurysm at the repair spot which was growing very slowly. Since we found a thrombus in the pseudoaneurysm, a redo operation was performed in 2008. The pseudoaneurysm was successfully extirpated, under cardiopulmonary bypass. The infracted area had degenerated to scar tissue and we could suture tightly without worrying about a fissure in the wall. We can use Patch-and-Glue Repair to rescue the LVFWR patients due to AMI in the acute stage because it is possible to remove the pseudoaneurysm in the future, on pseudoaneurysm excision in a firmly infarcted area is possible in the chronic stage.
