A Case of Blow-Out Type Cardiac Rupture after Acute Myocardial Infarction
10.4326/jjcvs.36.269
- VernacularTitle:Ｂｌｏｗ ｏｕｔ型左室自由壁破裂を合併した急性心筋梗塞の１救命例
- Author:
Motohiko Goda
;
Kiyotaka Imoto
;
Shinichi Suzuki
;
Keiji Uchida
;
Kensuke Kobayashi
;
Koichiro Date
;
Toshiki Hatsune
;
Makoto Okiyama
;
Makoto Kato
- Publication Type:Journal Article
- Keywords:
GRF glue
- From:Japanese Journal of Cardiovascular Surgery
2007;36(5):269-272
- CountryJapan
- Language:Japanese
-
Abstract:
A 83-year-old woman suffered pulseless-electrical-activity (PEA) because of cardiac tamponade after acute myocardial infarction with blow-out type cardiac rupture. Immediately median sternotomy was performed and active bleeding from the postero-lateral wall was found. It was impossible to stop bleeding only by putting pressure on the aperture of the myocardium with a piece of TachoComb coated with gelatin-resorcinol-formaldehyde (GRF) glue, however, the chemical action of GRF glue made the delicate myocardium after acute infarction stronger and we managed to stop that bleeding with mattress sutures that had initially seemed to be impossible. She was discharged on POD 103 uneventfully. We think this is a useful and safe operation procedure for blow-out type cardiac rupture.
