Sutureless Treatment for Blow-out Type Left Ventricular Free Wall Rupture
10.4326/jjcvs.39.254
- VernacularTitle:Blow out 型左室自由壁破裂に対して sutureless technique を用いて救命し得た1例
- Author:
Yutaka Narahara
;
Atsushi Bito
;
Noboru Murata
- Publication Type:Journal Article
- Keywords:
left ventricular free wall rupture;
blow-out type;
sutureless technique
- From:Japanese Journal of Cardiovascular Surgery
2010;39(5):254-257
- CountryJapan
- Language:Japanese
-
Abstract:
A 78-year-old woman who had had chest pain since 3 days previously, was given a diagnosis of acute myocardial infarction. Emergency coronary angiography revealed mid-left anterior descending artery and proximal right coronary artery lesions. Percutaneous coronary intervention was performed, and re-perfusion was successful. Cardiac tamponade was then diagnosed. Despite pericardial drainage, she remained in shock. After an intra-aortic balloon pump was established, an emergency operation was performed. On the operating table, her pulse disappeared. When thoracotomy was performed, a viscous hematoma was found in the pericardium. We found 3 ruptures in the left ventricular free wall, and hemorrhage. The diagnosis was a blow-out type left ventricular free wall rupture of the heart (LVFWR). We have used the patches-and-glue sutureless technique without cardiopulmonary support. This treatment for blow-type of LVFWR is rare.
