[A case report of successful surgical treatment following the emergency circulatory assist by percutaneous cardiopulmonary support system for acute postinfarction left ventricular free wall rupture].
Percutaneous cardiopulmonary support system (PCPS) was applied for a 85 years old man with circulatory collapse caused by left ventricular free wall blow out rupture following acute anterior myocardial infarction. PCPS was started after the cardiac massage for 7 minutes without thoracotomy or release of cardiac tamponade and flow of ranging from 2.3 to 2.7 L/min/m2 was achieved. The patient was transferred to operating room and closure of the ventricular rupture was performed under the usual cardiopulmonary bypass. Postoperative recovery of cardiac function and consciousness was satisfactory but he was died of multiple organ failure caused by sepsis at 36 postoperative day. PCPS and consecutive surgical therapy seemed useful method for the treatment of left ventricular free wall blow out rupture.
Masai
T
T
Department of Cardiovascular Surgery, Osaka Police Hospital, Japan.
Sakakibara
T
T
Watanabe
S
S
Kodama
K
K
Kaneko
M
M
Matsuda
H
H
D000368:Aged; D000369:Aged, 80 and over; D001243:Assisted Circulation / Q000295:instrumentation / Q000379:methods; D004630:Emergencies; D006342:Heart Rupture, Post-Infarction / Q000601:surgery*; D006355:Heart-Lung Machine; D006801:Humans; D008297:Male