A Case of Successful Surgical Treatment for LV Free Wall Blow-out Rupture after Acute Myocardial Infarction / 日本心臓血管外科学会雑誌
Japanese Journal of Cardiovascular Surgery
;
: 181-184, 1999.
Artículo
en Japonés
| WPRIM
| ID: wpr-366485
ABSTRACT
Blow-out type free wall rupture is a severe complication after acute myocardial infarction and its prognosis is poor. A 68-year-old man was admitted to our hospital for extensive anterior acute myocardial infarction with cardiogenic shock. Echocardiogram and CT strongly indicated the presence of intrapericardial fluid, and we had to perform an emergency operation. Before median sternotomy, we cannulated the femoral artery and vein, and cardiopulmonary bypass was started. We resected the ruptured and necrotic left ventricular myocardium and employed the feltstrip sandwich method. Postoperative recovery of cardiac function and consciousness was satisfactory and he was discharged from hospital on the 37th postoperative day. PCPS or femoro-femoral bypass and consecutive surgical therapy can be a useful method for the treatment of left ventricular free wall blow-out rupture.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Idioma:
Japonés
Revista:
Japanese Journal of Cardiovascular Surgery
Año:
1999
Tipo del documento:
Artículo
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