Operative Treatment for Cardiac Tamponade with Ventricular Rupture of PostMyocardial Infarction without Cardiopulmonary Bypass: A case report.
- Author:
Changseock CHOI
1
;
Han Yong KIM
;
Jaehong PARK
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Masan Samsung Hospital, Sungkyunkwan University School of Medicine, Korea. arrest4u@naver.com
- Publication Type:Case Report
- Keywords:
Ventricle rupture;
Cardiac tamponade
- MeSH:
Aged;
Cardiac Tamponade;
Cardiopulmonary Bypass;
Cicatrix;
Emergencies;
Extremities;
Female;
Heart;
Heart Massage;
Hemorrhage;
Humans;
Infarction;
Myocardial Infarction;
Pericardium;
Rupture
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2008;41(1):95-97
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Ischemic ventricular rupture is one of the most fatal complications following myocardial infarction, and this requires prompt diagnosis and operation. A 75-year-old female was admitted to the ER in a semicomatous mentality with cyanotic extremities. Cardiac echography was carried out in the ER, and a 1.5~2 cm thickness of effusion in the pericardium was seen. Because the patient's heart had declined to 35 times per min, an emergency operation was started while giving cardiac massage. After observing a 1 cm rupture on the right ventricular wall and a necrotic hemorrhagic scar with a rupture on the left ventricular apical wall, repair of the ruptured areas with a large Satinsky clamp was carried out to control bleeding without cardiopulmonary bypass. On the 28th day after surgery, she was discharged home with a minimal degree of dyspnea.
