A Surgical Case of Ventricular Double Rupture after Acute Myocardial Infarction

Shunsuke Sakamoto＊

Koji Onoda＊

（Department of Cardiovascular Surgery, Shingu Municipal Medical Center＊, Shingu, Japan）

A 76-year-old woman with acute myocardial infarction（AMI）suddenly fell down with cardiogenic shock. Echocardiography showed free wall rupture（FWR), therefore emergency operation was performed under IABP and PCPS assistance. Seven days after initial operation, onset of ventricular septal perforation（VSP）was recognized. Eighteen days after initial operation, the infarct exclusion technique with a bovine pericardial patch was performed. She has been doing well 4 months after the operation with trivial residual shunt. Mechanical complications after AMI are classified as FWR, VSP, and papillary muscle rupture. A combination of any two types of these is called ventricular double rupture. Ventricular double rupture is a very rare condition, and its prognosis is poor. We report here a surgical case with ventricular double rupture after AMI. 　　

Jpn. J. Cardiovasc. Surg. 47:211-214（2018）

Keywords：acute myocardial infarction;ventricular double rupture;free wall rupture;ventricular septal perforation