Successful Surgical Repair Case of Cardiac Rupture after Acute Myocardial Infarction

Successful Surgical Repair Case of Cardiac Rupture after Acute Myocardial Infarction

（Department of Cardiovascular Surgery, Hachinohe City Hospital, Hachinohe, Japan）

Taro Hayashi Katsuo Matsuki , Hidenori Fujiwara

Blow-out type cardiac rupture after acute myocardial infarction（AMI）is usually a fatal complication. We report the case of a 64-year-old man, admitted to our hospital for AMI with cardiac shock. ECG and echocardiography showed a cardiac rupture after anterior AMI. We performed an emergency operation with a percutaneous cardiopulmonary support system（PCPS）and intra-aortic balloon pumping（IABP). The actively bleeding site, located at the anterior wall, was approximated using a large mattress suture with felt strips to close the rupture site, and the site was covered with fibrin glue. The patient was discharged on POD 48. We report a successful surgery for a case of blow-out type cardiac rupture after AMI.
Jpn. J. Cardiovasc. Surg. 38:22-25（2009）