Left ventricular-free wall rupture after successful coronary intervention: report of a case.
We experienced the case of a left ventricular-free wall rupture (LVFWR) following successful coronary intervention for acute myocardial infarction (AMI). A 73-year-old woman was hospitalized because of chest oppression that had been continuing for 8 days. She was diagnosed to have AMI, and percutaneous coronary intervention (PCI) was performed. PCI was successful. However, immediately following PCI, she developed electromechanical dissociation secondary to tamponade because of blow-out-type LVFWR. The perforation tear was initially closed by a direct suture, followed by reinforcement using bovine pericardium patches sealed with GRF glue. The patient died of irreversible brain damage on postoperative day 3, but no re-bleeding or aneurysmal dilatation was detected at autopsy.
Nakamura
Yoshinobu
Y
Department of Surgery, Division of Organ Regeneration Surgery, Tottori University Faculty of Medicine, 36-1 Nishi-cho, Yonago 683-8504, Japan.
Nishimura
Kengo
K
Harada
Shingo
S
Fujiwara
Yoshikazu
Y
Shiraya
Suguru
S
Kamihira
Satoshi
S
Ishiguro
Shingo
S
Nishimura
Motonobu
M
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D006348:Cardiac Surgical Procedures / Q000379:methods*; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005260:Female; D005500:Follow-Up Studies; D006341:Heart Rupture / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006352:Heart Ventricles; D006801:Humans; D009203:Myocardial Infarction / Q000628:therapy*; D013536:Suture Techniques