| Three Surgical Cases of Postinfarction
Left Ventricular Free Wall Rupture |
| Yasumi Maze |
Hidehito Kawai |
| Yoshihiko Katayama |
Makoto Kimura |
| Sekira Shoumura |
|
(Department of Thoracic Surgery, Yamada Red Cross
Hospital, Mie, Japan)
|
Three surgical cases of postinfarction
left ventricular free wall rupture (LVFWR) are described. Patient
1, a 76-year-old woman, developed LVFWR of the posterior wall
after acute myocardial infarction (AMI). Coronary arteriography
(CAG) revealed total occlusion of left circumflex artery (Cx)
(＃11). Direct closure of the myocardial tear was performed using
cardiopulmonary bypass (CPB) and cardiac arrest. Patient 2, a
67-year-old man, developed LVFWR of the anterior wall after AMI.
CAG revealed total occlusion of left anterior descending artery
(LAD) (＃7). He was placed on a percutaneous cardiopulmonary support
system (PCPS) prior to the operation and direct closure of the
myocardial tear was performed with the heart beating. Patient
3, a 57-year-old man, developed LVFWR of the posterior wall after
AMI. CAG revealed total occlusion of Cx (＃13). He was placed
on PCPS prior to the operation and direct closure of the myocardial
tear was performed using CPB and cardiac arrest. Patients 2 and
3 who were placed on PCPS prior to the operation successfully
underwent emergency operations. In all cases, 2-0 Prolene horizontal
mattress sutures with Teflon felt strips were used through the
infarcted area in order to close the myocardial tear.
Jpn. J. Cardiovasc. Surg. 31：77-80（2002) |
|
