Surgical Treatment of Blow-out Type Left Ventricular Free Wall Rupture after Full Sternotomy

Macroscopic Findings of a “Blow-out” Ventricular Free Wall Rupture

A 68-year-old man was admitted with continuous chest pain for >8 hours. The initial twelve-lead electrocardiogram (Picture 1) suggested an ongoing broad anterior myocardial infarction (MI). He suddenly began to suffer from severe hypotension with massive pericardial effusion (Picture 2A) before any emergent cardiac intervention could be performed and he died despite undergoing cardiopulmonary r...

Surgical treatment of left ventricular free wall rupture after myocardial infarction: case series.

AIM To analyze the results of surgical treatment of left ventricular free wall rupture after acute myocardial infarct in a case series. METHOD From 1984 to 2001, 25 patients (10 women and 15 men) were surgically treated in our Center for left ventricular free wall rupture after acute myocardial infarction. Their mean age was 62 years (range, 42-80). Cardiac symptoms (chest pain and/or dyspnea...

A surgical case of ventricular septal perforation after repairing left ventricular free wall rupture.

A 78-year-old woman with diagnosis of acute myocardial infarction (AMI) in the anteroseptal area fell into cardiogenic shock suddenly just before starting percutaneous coronary intervention (PCI). Echocardiography showed left ventricular free wall rupture, then an emergent operation was performed by sutureless patch repair using collagen fleece with fibrinogen-based impregnation. Eight days lat...

Left ventricular free wall rupture after coronary artery bypass grafting.

Non-Fatal Outcome after Acute Left Ventricular Free Wall Rupture

Left ventricular free wall rupture is an uncommon but catastrophic event caused by acute myocardial infarction. In most of the cases, acute rupture results in cardiac tamponade and shock which is usually fatal within few minutes. Only immediate diagnosis and surgery can increase the survival rate. We report the case of the acute left ventricular free wall rupture, which was treated surgically w...