A huge pseudoaneurysm of the left ventricle after simple gluing of an oozing-type postinfarction rupture.
OBJECTIVE
Left ventricular free wall rupture is a major complication after myocardial infarction. Simple gluing for a rupture site, without a cardiopulmonary bypass, has been reported useful.


METHODS
We experienced a left ventricular pseudoaneurysm, of 8 cm in size, emerging at a previous rupture site 1 year after gluing with TachoComb for an oozing-type rupture due to an acute anteroseptal myocardial infarction.


RESULTS
The pseudoaneurysm was successfully extirpated, under a cardiopulmonary bypass, with induction of ventricular fibrillation.


CONCLUSIONS
Patients, after simple gluing for a left ventricular free wall rupture, should be carefully followed up regarding the occurrence of a pseudoaneurysm at the repair site.
Department of Cardiovascular Surgery, National Cardiovascular Center, Suita, Osaka 565-8565, Japan.
Satsuki
S
Fukushima
Junjiro
J
Kobayashi
Osamu
O
Tagusari
Yoshikado
Y
Sasako