Korean J Thorac Cardiovasc Surg.  2008 Feb;41(1):95-97.

Operative Treatment for Cardiac Tamponade with Ventricular Rupture of PostMyocardial Infarction without Cardiopulmonary Bypass: A case report

• Choi C
• Kim HY
• Park J

Abstract

Ischemic ventricular rupture is one of the most fatal complications following myocardial infarction, and this requires prompt diagnosis and operation. A 75-year-old female was admitted to the ER in a semicomatous mentality with cyanotic extremities. Cardiac echography was carried out in the ER, and a 1.5~2 cm thickness of effusion in the pericardium was seen. Because the patient's heart had declined to 35 times per min, an emergency operation was started while giving cardiac massage. After observing a 1 cm rupture on the right ventricular wall and a necrotic hemorrhagic scar with a rupture on the left ventricular apical wall, repair of the ruptured areas with a large Satinsky clamp was carried out to control bleeding without cardiopulmonary bypass. On the 28th day after surgery, she was discharged home with a minimal degree of dyspnea.

Keyword

Ventricle rupture; Cardiac tamponade

MeSH Terms

Aged
Cardiac Tamponade
Cardiopulmonary Bypass
Cicatrix
Emergencies
Extremities
Female
Heart
Heart Massage
Hemorrhage
Humans
Infarction
Myocardial Infarction
Pericardium
Rupture