Rupture of Free Wall of the Left Ventricular and Ventricular Septum (Double Rupture) after Acute Myocardial Infarction
10.4326/jjcvs.42.241
- VernacularTitle:急性心筋梗塞後の心室中隔穿孔に左室自由壁破裂を合併した1手術救命例
- Author:
Daisuke Onohara
;
Kazuki Hisatomi
;
Takahumi Yamada
- Publication Type:Journal Article
- Keywords:
ventricular septal rupture;
free-wall rupture;
double rupture;
patch closure
- From:Japanese Journal of Cardiovascular Surgery
2013;42(3):241-245
- CountryJapan
- Language:Japanese
-
Abstract:
Cardiac ruptures are life-threatening complications after acute myocardial infarction. Types of rupture include left ventricle free-wall rupture, ventricular septal rupture, and papillary muscle rupture. Double rupture is defined as the coexistence of two of the above-mentioned forms of rupture. It complicates approximately 0.3% of acute myocardial infarction with the most frequent combination being free-wall rupture and ventricular septal rupture. We present the case of a 74-year-old man whose recent acute myocardial infarction was complicated by a combination of free-wall rupture and ventricular septal rupture. The patient underwent successful surgical treatment of the double myocardial rupture along with bypass grafting.