| Two Cases of Acute Myocardial
Infarction Complicated by Ventricular Septal Perforation and
Right Ventricular Free Wall Rupture |
(Department of Cardiovascular Surgery, Chugoku Rosai
Hospital, Kure, Japan)
| Tomokuni Furukawa |
Shuji Kohata |
Saihou Hayashi |
|
We experienced 2 rare cases of acute
myocardial infarction (AMI) complicated by ventricular septal
perforation (VSP) and right ventricular free wall rupture. Case
1 was a 70-year-old woman who developed VSP and cardiac rupture
after percutaneous coronary artery thrombolytic therapy for AMI
(total occlusion of left anterior descending branch (LAD) #6)
and died of cardiac tamponade. Postmortem examination showed
right ventricular free wall rupture. Case 2 was a 76-year-old
woman. She developed VSP 6 days after percutaneous coronary artery
intervention (stenting) for AMI (total occlusion of LAD #8).
VSP was closed by the double patch repair technique. During operation,
right ventricular free wall rupture (oozing type) was found,
so hemostasis with fibrinogen was added. She was discharged in
a satisfactory condition 4 weeks after surgery. Right ventricular
rupture after AMI of the LAD region is rare. VSP may be associated
with right ventricular free wall rupture complicated by AMI of
LAD region because all of our cases were accompanied by VSP.
Jpn. J. Cardiovasc. Surg. 34: 29-32 (2005) |
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