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

Mikihiko Kudo, Takahiko Misumi, Kiyoshi Koizumi, Hankei Shin

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

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 later from the initial operation, the onset of ventricular septal perforation (VSP) was recognized. Fifteen days after, the infarct exclusion technique with endocardial patch was performed. She has been doing well 4 months after the operation without residual shunt. To our best knowledge, this is the first surgical case report that free wall rupture of left ventricle and VSP which are serious complications after myocardial infarction happened in succession.

Original languageEnglish
Pages (from-to)121-124
Number of pages4
JournalAnnals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
Volume11
Issue number2
Publication statusPublished - 2005
Externally publishedYes

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Ventricular Septal Rupture
Heart Rupture
Anterior Wall Myocardial Infarction
Cardiogenic Shock
Percutaneous Coronary Intervention
Fibrinogen
Heart Ventricles
Echocardiography
Rupture
Collagen
Myocardial Infarction

Cite this

A surgical case of ventricular septal perforation after repairing left ventricular free wall rupture. / Kudo, Mikihiko; Misumi, Takahiko; Koizumi, Kiyoshi; Shin, Hankei.

In: Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia, Vol. 11, No. 2, 2005, p. 121-124.

Research output: Contribution to journalArticle

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