Korean J Thorac Cardiovasc Surg.  2003 May;36(5):363-366.

Repair of Left Ventricular Free Wall Rupture after Acute Myocardial Infarction: Application of Pericardial Patch Covering and Fibrin Glue Compression: A case report

• Kim SI
• Kum DY
• Won KJ
• Oh SJ

Abstract

Left ventricular rupture after acute myocardial infarction is a serious complication with high mortality. Emergency operation is usually the only available treatment. A 76-year-old female with persistent chest pain and syncopal attacks was admitted. Transthoracic echocardiography showed the pericardial effusion and generalized hypokinesia of the inferolateral wall of left ventricle. Coronary angiography revealed a total occlusion of the first diagonal branch. After percutaneous transluminal coronary angioplasty with coronary stent and insertion of intraaortic balloon pump, emergency operation was performed. Under cardiopulmonary bypass and cardiac arrest with cold blood cardioplegia, coronary artery bypass graft with saphenous vein, pericardial patch covering on the rupture area with 6-0 polypropylene running sutures, and fibrin glue compression under the patch were performed. We present a case of left ventricular (free wall) rupture after acute myocardial infarction.

Keyword

Heart ventricular, left; Myocardial infarction; Heart rupture

MeSH Terms

Aged
Angioplasty, Balloon, Coronary
Cardiopulmonary Bypass
Chest Pain
Coronary Angiography
Coronary Artery Bypass
Echocardiography
Emergencies
Female
Fibrin Tissue Adhesive*
Fibrin*
Heart Arrest
Heart Arrest, Induced
Heart Rupture*
Heart Ventricles
Humans
Hypokinesia
Mortality
Myocardial Infarction*
Pericardial Effusion
Polypropylenes
Running
Rupture
Saphenous Vein
Stents
Sutures
Transplants
Fibrin
Fibrin Tissue Adhesive
Polypropylenes