Ventricular free wall re-rupture after surgical treatment of ventricular free wall rupture due to acute myocardial infarction; report of a case
Kojima, T.; Hata, T.; Tsushima, Y.; Matsumoto, M.; Hamanaka, S.; Yoshitaka, H.; Mouri, M.; Suehiro, K.; Ohtani, S.; Nagao, A.
Kyobu Geka. Japanese Journal of Thoracic Surgery 55(7): 567-570
2002
ISSN/ISBN: 0021-5252 PMID: 12136586 Document Number: 551613
An in-hospital 72-year-old male with complaint of anterior chest pain was presented with shock. Pericardial effusion was confirmed by echocardiography, and therefore, he was brought to the operating room immediately with diagnosis of ventricular free wall rupture. The repair was performed using fibrin glue, fibrin sheet, and pericardial patch. His post-operative course was uneventful until massive bleeding came through the chest tube on the 5th day from the initial surgery. The emergency sternotomy was made again for hemostasis. In the re-operation, an approximately 20 mm laceration along the proximal circumflex artery was found and this was successfully repaired with 2 pledgetted horizontal mattress sutures. It is important and necessary to treat a postoperative patient taking care of re-rupture.