title: Oozing type cardiac rupture repaired with percutaneous injection of fibrin-glue into the pericardial space: case report.
abstract: Two patients, a 56-year-old man and an 81-year-old woman who were admitted to hospital because of anteroseptal acute myocardial infarction, were initially treated successfully with direct percutaneous transluminal coronary angioplasty. However, both patients later developed sudden cardiogenic shock due to cardiac tamponade caused by left ventricular free wall rupture (LVFWR). Prompt, life-saving pericardiocentesis was performed, then fibrin-glue was percutaneously injected into the pericardial space. After the procedure, there was no detectable pericardial effusion on echocardiography and the hemodynamic state became stable. The surgical treatment was the standard procedure for LVFWR, but percutaneous fibrin-glue therapy can also be considered for oozing type LVFWR.
authors.affiliation: Department of Internal Medicine, Social Insurance Chuo General Hospital, Tokyo, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Murata
authors.forename: M
authors.initials: M
authors.lastname: Masuo
authors.forename: H
authors.initials: H
authors.lastname: Yoshimoto
authors.forename: J
authors.initials: J
authors.lastname: Toyama
authors.forename: M
authors.initials: M
authors.lastname: Shimada
authors.forename: Y
authors.initials: Y
authors.lastname: Shimamura
authors.forename: H
authors.initials: H
authors.lastname: Hojo
authors.forename: K
authors.initials: K
authors.lastname: Kondo
authors.forename: S
authors.initials: S
authors.lastname: Kitamura
authors.forename: Y
authors.initials: Y
authors.lastname: Miura
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000008:administration & dosage*; D006341:Heart Rupture / Q000188:drug therapy* / Q000473:pathology / Q000503:physiopathology; D006801:Humans; D007279:Injections, Subcutaneous; D008297:Male; D008875:Middle Aged; D010496:Pericardium
chemical_list: D015718:Fibrin Tissue Adhesive