[Successful surgical repair of left ventricular free wall rupture after acute myocardial infarction].
Left ventricular free wall rupture (LVFWR) after acute myocardial infarction (AMI) is a fatal complication. We report emergency surgery for 2 blow out cases and 2 oozing cases during the 5-year period from 2003. After percutaneous coronary intervention (PCI), subacute thrombosis (SAT) occurred before operation in 2 oozing cases. To the blow out cases, both percutaneous cardiopulmonary support system (PCPS) and intra-aortic balloon pumping (IABP) were applied. The actively bleeding site was approximated by a large mattress suture with felt strips. To the oozing cases, only IABP was applied, and sutureless technique was used for hemostasis. They all survived the operation
Matsuki
K
K
Department of Cardiovascular Surgery, Hachinohe City Hospital, Hachinohe, Japan.
Fujiwara
H
H
D000368:Aged; D006348:Cardiac Surgical Procedures; D005260:Female; D006342:Heart Rupture, Post-Infarction / Q000628:therapy*; D006352:Heart Ventricles / Q000601:surgery*; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome