Logo American Journal of Case Reports

Call: 1.631.629.4328
Mon-Fri 10 am - 2 pm EST

Contact Us

Logo American Journal of Case Reports Logo American Journal of Case Reports Logo American Journal of Case Reports

07 April 2008

A left ventricular free wall re-rupture after surgery of ventricular rupture due to acute myocardial infarction: case report

Juozas Sakalauskas, Sarunas Kinduris, Edmundas Sirvinskas

Am J Case Rep 2008; 9:192-195 :: ID: 851966

Abstract

Background: Left ventricular free wall rupture following myocardial infarction is a comparatively common cause of death. The most appropriate surgical technique remains controversial.
Case Report: A 72-year-old man with severe chest pain and cardiac tamponade with cardiogenic shock was admitted to the hospital. The patient with the diagnosis of ventricular rupture and cardiac tamponade was immediately transferred to the operating room. Median sternotomy was performed, and an infarcted area, 3×5 cm in size, in the left ventricular lateral wall was found. Using off-pump coronary bypass technique, the repair was performed with pericardial patch, which was fi xed on the wall of the left ventricle using continuous 4-0 Prolene suture. Patient’s postoperative period was complicated. Emergency sternotomy was performed again. At the reoperation, necrosis of myocardium (approximately 3.5×6.0 cm in size) along the first marginal coronary artery was found. After incision in the middle of the necrotic myocardium, the left ventricle was opened without excision of necrotic tissue and was carefully inspected. Twelve separate pledgets (6×12 mm) at the border of the necrotic tissue were placed. Tefl on patch (about 8×5 cm) was applied over the necrotic area. The corners of the Tefl on patch was sutured using earlier inserted sutures around all necrotic myocardium. The postoperative period was successful.
Conclusions: Our experience shows that surgical repair of left ventricular free wall rupture with pericardial patch fixed to epicardium using sutures is not safe technique and does not prevent rerupture. Surgical repair of left ventricular muscle rupture with a prosthetic patch sutured at the borders of intact tissue using earlier inserted sutures significantly prevents further tearing of dead myocardium.

Keywords: left ventricular free wall rupture, postinfarction cardiac complication

Add Comment 0 Comments

In Press

12 Feb 2024 : Case report  Germany

Diagnostic Challenges and Imaging Considerations for Intraparotid Facial Nerve Schwannoma: A Case Report an...

Am J Case Rep In Press; DOI: 10.12659/AJCR.942870  

0:00

12 Feb 2024 : Case report  USA

Erdheim-Chester Disease Occult on Radiographs and CT but Visible on MRI and PET

Am J Case Rep In Press; DOI: 10.12659/AJCR.941169  

0:00

12 Feb 2024 : Case report  USA

Surgical Treatment of Spontaneous Superficial Temporal Artery Arteriovenous Malformation: A Case Report

Am J Case Rep In Press; DOI: 10.12659/AJCR.942839  

13 Feb 2024 : Case report  Bahrain

Warfarin Woes: A Rare Case of Hemoperitoneum with Intramural Small Bowel Hematoma

Am J Case Rep In Press; DOI: 10.12659/AJCR.943519  

Most Viewed Current Articles

10 Jan 2022 : Case report  Germany

A Report on the First 7 Sequential Patients Treated Within the C-Reactive Protein Apheresis in COVID (CACOV...

DOI :10.12659/AJCR.935263

Am J Case Rep 2022; 23:e935263

19 Jul 2022 : Case report  Saudi Arabia

Atlantoaxial Subluxation Secondary to SARS-CoV-2 Infection: A Rare Orthopedic Complication from COVID-19

DOI :10.12659/AJCR.936128

Am J Case Rep 2022; 23:e936128

05 Mar 2022 : Case report  Brazil

Acute Limb Ischemia After Self-Injection of Crushed Morphine Tablets into the Radial Artery: Role of Infrar...

DOI :10.12659/AJCR.935336

Am J Case Rep 2022; 23:e935336

02 Apr 2022 : Case report  Saudi Arabia

Infective Endocarditis Caused by Pseudomonas luteola in a Pediatric Patient. A Case Report and Review of Li...

DOI :10.12659/AJCR.935743

Am J Case Rep 2022; 23:e935743

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923