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Surgical Treatment of Postinfarct Ventricular Double Rupture - A case report -  

Kim Young Sam (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Inha University)
Yoon Young Han (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Inha University)
Kim Joung Taek (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Inha University)
Kim Kwang Ho (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Inha University)
Lim Hyun Kyoung (Department of Anesthesiology, College of Medicine, Inha University)
Kwan Jun (Department of Internal Medicine, College of Medicine, Inha University)
Baek Wan Ki (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Inha University)
Publication Information
Journal of Chest Surgery / v.38, no.10, 2005 , pp. 717-720 More about this Journal
Abstract
Here we report a case of posterior left ventricular (LV) free wall rupture following postinfarct ventricular septal rupture (VSR). A 58-year-old man was transferred to the hospital under the impression of acute myocardial infarction. Posterior VSR was seen on echocardiographic examination. The intraaortic balloon pump catheter was introduced percutaneously and the emergent operation was proposed. Sudden circulatory collapse was developed shortly after the anesthetic induction and the patient's chest was hurriedly opened while on cardiopulmonary resuscitation. The acute cardiac tamponade was seen and the blood was seen pumping from the longitudinal tear at the mid-level of LV posterior wall, measuring 2 cm in length. The cardiopulmonary bypass was set and LV reconstruction was done. The postoperative recovery was delayed due to the brain injury presumably caused by preoperative cardiac arrest.
Keywords
Heart septal defects; Myocardial infanction; Heart ventricle; Ventricular rupture;
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