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Repair of Left Ventricular Free Wall Rupture after Acute Myocardial Infarction: Application of Pericardial Patch Covering and Fibrin Glue Compression A case report  

김상익 (을지의과대학 부속병원 흉부외과)
금동윤 (을지의과대학 부속병원 흉부외과)
원경준 (을지의과대학 부속병원 흉부외과)
오상준 (을지의과대학 을지병원 흉부외과)
Publication Information
Journal of Chest Surgery / v.36, no.5, 2003 , pp. 363-366 More about this Journal
Abstract
Background: Left ventricular rupture after acute myocardial infarction is a serious complication with high mortality. Emergency operation is usually the only available treatment. A 76-year-old female with persistent chest pain and syncopal attacks was admitted. Transthoracic echocardiography showed the pericardial effusion and generalized hypokinesia of the inferolateral wall of left ventricle. Coronary angiography revealed a total occlusion of the first diagonal branch. After percutaneous transluminal coronary angioplasty with coronary stent and insertion of intraaortic balloon pump, emergency operation was performed. Under cardiopulmonary bypass and cardiac arrest with cold blood cardioplegia, coronary artery bypass graft with saphenous vein, pericardial patch covering on the rupture area with 6-0 polypropylene running sutures, and fibrin glue compression under the patch were performed. We present a case of left ventricular (free wall) rupture after acute myocardial infarction.
Keywords
Heart ventricular; left; Myocardial infarction; Heart rupture;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
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