Korean J Thorac Cardiovasc Surg.  2005 Oct;38(10):717-720.

Surgical Treatment of Postinfarct Ventricular Double Rupture: A case report

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, College of Medicine, Inha University. wkbaek@inha.ac.kr
  • 2Department of Anesthesiology, College of Medicine, Inha University.
  • 3Department of Internal Medicine, College of Medicine, Inha University.

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.

Keyword

Heart septal defects; Myocardial infanction; Heart ventricle; Ventricular rupture

MeSH Terms

Brain Injuries
Cardiac Tamponade
Cardiopulmonary Bypass
Cardiopulmonary Resuscitation
Catheters
Echocardiography
Heart Arrest
Heart Septal Defects
Heart Ventricles
Humans
Middle Aged
Myocardial Infarction
Rupture*
Shock
Thorax
Ventricular Septal Rupture
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