title: [Left free wall rupture complicating acute myocardial infarction--a case report of surgical success by a new modified method].
abstract: 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.
authors.affiliation: Department of Surgery, Sakakibara Heart Institute, Tokyo, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Imura
authors.forename: H
authors.initials: H
authors.lastname: Kasegawa
authors.forename: Y
authors.initials: Y
authors.lastname: Shimamura
authors.forename: T
authors.initials: T
authors.lastname: Ida
authors.forename: E
authors.initials: E
authors.lastname: Mannohji
authors.forename: M
authors.initials: M
authors.lastname: Kawase
mesh_terms: 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*