[Left free wall rupture complicating acute myocardial infarction--a case report of surgical success by a new modified method].
The success rate of surgical treatment for blowout type free wall rupture of the left ventricle following myocardial infarction has been reported as 4 to 24%. A 64-year-old woman was admitted to our hospital for inferior acute myocardial infarction with cardiogenic shock. In the catheter laboratory, her hemodynamics disclosed electro-mechanical dissociation, and we had to perform an emergent operation there. In order to preserve left ventricular volume and reduce the risk of bleeding, we adopted a modified method using both patch and felt strip sandwich methods which obtained favorable result. The patient was sent to a rehabilitation hospital on the 43rd post operative day because of a mild cerebral complication and she is now doing well with only a slight speaking disturbance at a follow-up period of 10 months.
Imura
H
H
Department of Surgery, Sakakibara Heart Institute, Tokyo, Japan.
Kasegawa
H
H
Shimamura
Y
Y
Ida
T
T
Mannohji
E
E
Kawase
M
M
D006348:Cardiac Surgical Procedures / Q000379:methods; D005260:Female; D006342:Heart Rupture, Post-Infarction / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D018658:Ventricular Septal Rupture / Q000601:surgery*