Three Surgical Cases of Postinfarction Left Ventricular Free Wall Rupture.
10.4326/jjcvs.31.77
- VernacularTitle:急性心筋梗塞後左室自由壁破裂の３手術例
- Author:
Yasumi Maze
;
Hidehito Kawai
;
Yoshihiko Katayama
;
Makoto Kimura
;
Sekira Shoumura
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2002;31(1):77-80
- CountryJapan
- Language:Japanese
-
Abstract:
Three surgical cases of postinfarction left ventricular free wall rupture (LVFWR) are described. Patient 1, a 76-year-old woman, developed LVFWR of the posterior wall after acute myocardial infarction (AMI). Coronary arteriography (CAG) revealed total occlusion of left circumflex artery (Cx) (#11). Direct closure of the myocardial tear was performed using cardiopulmonary bypass (CPB) and cardiac arrest. Patient 2, a 67-year-old man, developed LVFWR of the anterior wall after AMI. CAG revealed total occlusion of left anterior descending artery (LAD) (#7). He was placed on a percutaneous cardiopulmonary support system (POPS) prior to the operation and direct closure of the myocardial tear was performed with the heart beating. Patient 3, a 57-year-old man, developed LVFWR of the posterior wall after AMI. CAG revealed total occlusion of Cx (#13). He was placed on PCPS prior to the operation and direct closure of the myocardial tear was performed using CPB and cardiac arrest. Patients 2 and 3 who were placed on PCPS prior to the operation successfully underwent emergency operations. In all cases, 2-0 Prolene horizontal mattress sutures with Teflon felt strips were used through the infarcted area in order to close the myocardial tear.
