title: A surgical case of ventricular septal perforation after repairing left ventricular free wall rupture.
abstract: A 78-year-old woman with diagnosis of acute myocardial infarction (AMI) in the anteroseptal area fell into cardiogenic shock suddenly just before starting percutaneous coronary intervention (PCI). Echocardiography showed left ventricular free wall rupture, then an emergent operation was performed by sutureless patch repair using collagen fleece with fibrinogen-based impregnation. Eight days later from the initial operation, the onset of ventricular septal perforation (VSP) was recognized. Fifteen days after, the infarct exclusion technique with endocardial patch was performed. She has been doing well 4 months after the operation without residual shunt. To our best knowledge, this is the first surgical case report that free wall rupture of left ventricle and VSP which are serious complications after myocardial infarction happened in succession.
authors.affiliation: Division of Cardiovascular Surgery, Hiratsuka City Hospital, Kanagawa, Japan.
authors.forename: Mikihiko
authors.initials: M
authors.lastname: Kudo
authors.forename: Takahiko
authors.initials: T
authors.lastname: Misumi
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Koizumi
authors.forename: Hankei
authors.initials: H
authors.lastname: Shin
mesh_terms: D000368:Aged; D007611:Aprotinin / Q000627:therapeutic use; D006348:Cardiac Surgical Procedures; D004338:Drug Combinations; D005260:Female; D005340:Fibrinogen / Q000627:therapeutic use; D006488:Hemostasis, Surgical; D006801:Humans; D010492:Pericardiectomy; D019736:Prostheses and Implants; D012086:Reoperation; D013536:Suture Techniques; D013917:Thrombin / Q000627:therapeutic use; D014463:Ultrasonography; D018658:Ventricular Septal Rupture / Q000000981:diagnostic imaging / Q000601:surgery*
chemical_list: D004338:Drug Combinations; C093991:tachocomb; D005340:Fibrinogen; D007611:Aprotinin; D013917:Thrombin