Repair of Postinfarct Subacute Left Ventricular Free Wall Rupture Using Fibrin Glue

급성심근경색 후 발생한 아급성형 좌심실파열에서 Fibrin Glue를 이용한 치료

  • Lee, Jae-Hoon (Department of Thoracic and Cardiovascular Surgery, Dongsan Medical Center, Keimyung University School of Medicine) ;
  • Noh, Dong-Sub (Department of Thoracic and Cardiovascular Surgery, Dongsan Medical Center, Keimyung University School of Medicine) ;
  • Kim, Jae-Bum (Department of Thoracic and Cardiovascular Surgery, Dongsan Medical Center, Keimyung University School of Medicine) ;
  • Park, Nam-Hee (Department of Thoracic and Cardiovascular Surgery, Dongsan Medical Center, Keimyung University School of Medicine) ;
  • Keum, Dong-Yoon (Department of Thoracic and Cardiovascular Surgery, Dongsan Medical Center, Keimyung University School of Medicine) ;
  • Choi, Sae-Young (Department of Thoracic and Cardiovascular Surgery, Dongsan Medical Center, Keimyung University School of Medicine)
  • 이재훈 (계명대학교 의과대학 동산의료원 흉부외과학교실) ;
  • 노동섭 (계명대학교 의과대학 동산의료원 흉부외과학교실) ;
  • 김재범 (계명대학교 의과대학 동산의료원 흉부외과학교실) ;
  • 박남희 (계명대학교 의과대학 동산의료원 흉부외과학교실) ;
  • 금동윤 (계명대학교 의과대학 동산의료원 흉부외과학교실) ;
  • 최세영 (계명대학교 의과대학 동산의료원 흉부외과학교실)
  • Published : 2007.06.05

Abstract

The mortality of left ventricular free wall rupture after acute myocardial infarction is high; however, subactue myocardial rupture can be diagnosed by echocardiogram and the use of the intraaortic balloon pump reduces the incidence of re-rupture. Bleeding from subacute myocardial rupture can be managed by employing fibrin glue and several patches. We report here on a case of successfully managed case of subactue left ventricular free wall rupture after acute myocardial infarction with using the sutureless technique and fibrin glue.

급성심근경색에 의한 좌심실파열은 사망률이 높은 질환이나, 아급성형인 경우 심초음파를 통한 신속한 진단과 대동맥 풍선펌프를 사용하여 수술 전후 추가적인 심실벽 파열을 예방할 수 있고, 수술 시 fibrin glue와 여러 가지 형태의 패취를 사용함으로써 지혈이 가능하다. 저자들은 급성심근경색 후 발생한 아급성형 좌심실파열 환자에서 fibrin glue를 이용한 비봉합적인 방법으로 만족할 만한 결과를 얻었기에 문헌과 함께 보고한다.

Keywords

References

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