title: Postinfarction left ventricular free wall rupture: original management and surgical technique.
abstract: A case of postinfarction left ventricular free wall rupture is successfully treated. Prompt diagnosis was provided by echocardiography and an emergency operation was carried out. Following sternotomy, hemodynamic stabilization was obtained by gradually evacuating blood from the pericardium, while the femoral vessels were cannulated and the extracorporeal circulation was established. An autologous glutaraldehyde stiffened pericardial patch was sealed over the infarcted area using fibrin glue and fixed with a running suture on the surrounding healthy myocardium.
authors.affiliation: II Division of Cardiac Surgery, Hospital of Brescia, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Zogno
authors.forename: G
authors.initials: G
authors.lastname: La Canna
authors.forename: C
authors.initials: C
authors.lastname: Ceconi
authors.forename: M
authors.initials: M
authors.lastname: Ferrari
authors.forename: L
authors.initials: L
authors.lastname: Latini
authors.forename: R
authors.initials: R
authors.lastname: Lorusso
authors.forename: L
authors.initials: L
authors.lastname: Sandrelli
authors.forename: O
authors.initials: O
authors.lastname: Alfieri
mesh_terms: D004452:Echocardiography; D004630:Emergencies; D006342:Heart Rupture, Post-Infarction / Q000000981:diagnostic imaging / Q000601:surgery*; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008875:Middle Aged; D010496:Pericardium / Q000601:surgery