A Case of Successful Surgical Treatment for LV Free Wall Blow-out Rupture after Acute Myocardial Infarction.
10.4326/jjcvs.28.181
- VernacularTitle:急性心筋梗塞後ｂｌｏｗ ｏｕｔ型左室自由壁破裂の１手術治験例
- Author:
Takafumi Yamada
;
Hiroshi Yamaguchi
;
Masatake Takagi
;
Toshiyasu Kugimiya
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1999;28(3):181-184
- CountryJapan
- Language:Japanese
-
Abstract:
Blow-out type free wall rupture is a severe complication after acute myocardial infarction and its prognosis is poor. A 68-year-old man was admitted to our hospital for extensive anterior acute myocardial infarction with cardiogenic shock. Echocardiogram and CT strongly indicated the presence of intrapericardial fluid, and we had to perform an emergency operation. Before median sternotomy, we cannulated the femoral artery and vein, and cardiopulmonary bypass was started. We resected the ruptured and necrotic left ventricular myocardium and employed the feltstrip sandwich method. Postoperative recovery of cardiac function and consciousness was satisfactory and he was discharged from hospital on the 37th postoperative day. PCPS or femoro-femoral bypass and consecutive surgical therapy can be a useful method for the treatment of left ventricular free wall blow-out rupture.
