Experience of 10 Cases of Left Ventricular Free Wall Rupture after Acute Myocardial Infarction.
10.4326/jjcvs.21.556
- VernacularTitle:急性心筋梗塞後の左室自由壁破裂１０例の経験
- Author:
Kiyoshige INUI
;
Susumu NAGAMINE
;
Yoshiyuki OKADA
;
Michitoshi OTTOMO
;
Masanori Shirakabe
;
Kouichi Yokoyama
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1992;21(6):556-560
- CountryJapan
- Language:Japanese
-
Abstract:
There were 10 patients of left ventricular free wall rupture accompanied with acute myocardial infarction in our coronary care unit from Jan. 1987 to Jan. 1991, while 872 AMI patients in the same period. Five of 10 ruptured patients died. All these 5 patients were acute type of rupture. Elder patient, female, 1st attack of infarction and PTCA were considered to be risk factors of rupture. We managed 5 subacute and chronic type ruptured patients successfully at emergent operation with using fibringlue-oxycellulose. Fibringlue-oxycellulose method was useful especially for woozing from infarcted myocardium. The management for acute type rupture is difficult because of its clinical time course, it is considered that prevention of rupture for high risk patient is most important to reduce the mortality of AMI patients in the coronary care unit.
