Delayed left ventricular free-wall rupture after cardiac sarcoma resection.
We report the case of a 38-year-old woman who underwent cardiac sarcoma resection and presented later with spontaneous left ventricular free-wall rupture. The original tumor resection required autotransplantation and a transmitral approach, including partial resection of the inner left ventricular wall. Although the patient did well postoperatively, 3 weeks later she developed a large pericardial effusion with tamponade. Intraoperatively, a portion of the left ventricular free wall ruptured and required repair with a Dacron patch. The patient recovered and was discharged from the hospital 3 weeks later. To our knowledge, this is the 1st reported case of spontaneous ventricular rupture after the resection of a cardiac tumor.
Division of Cardiac Surgery, The Methodist Hospital, Houston, Texas 77030, USA. babruckner@tmhs.org
Brian A
BA
Bruckner
Ashish
A
Saharia
Jaime
J
Aburto
Michael J
MJ
Reardon
D000328:Adult; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D002305:Cardiac Tamponade / Q000209:etiology / Q000601:surgery; D017548:Echocardiography, Transesophageal; D005260:Female; D006338:Heart Neoplasms / Q000473:pathology / Q000601:surgery*; D006341:Heart Rupture / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D006352:Heart Ventricles / Q000473:pathology* / Q000601:surgery; D006801:Humans; D010490:Pericardial Effusion / Q000209:etiology / Q000601:surgery; D012086:Reoperation; D012509:Sarcoma / Q000473:pathology / Q000601:surgery*; D013997:Time Factors; D014182:Transplantation, Autologous