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Korean J Thorac Cardiovasc Surg 2005; 38(10): 717-720

Published online October 5, 2005

Copyright © Journal of Chest Surgery.

Surgical Treatment of Postinfarct Ventricular Double Rupture⁣A case report ⁣

Wan Ki Baek, M.D.*, Young Sam Kim, M.D.*, Young Han Yoon, M.D.*, Joung Taek Kim, M.D.*, Kwang Ho Kim, M.D.*, Hyun Kyoung Lim, M.D.**, Jun Kwan, M.D.***

Department of Thoracic and Cardiovascular Surgery, College of Medicine, Inha University, Department of Anesthesiology, College of Medicine, Inha University

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Here we report a case of posterior left ventricular (LV) free wall rupture following postinfarct ventricular septal rupture (VSR). A 58-year-old man was transferred to the hospital under the impression of acute myocardial infarction. Posterior VSR was seen on echocardiographic examination. The intraaortic balloon pump catheter was introduced percutaneously and the emergent operation was proposed. Sudden circulatory collapse was developed shortly after the anesthetic induction and the patient's chest was hurriedly opened while on cardiopulmonary resuscitation. The acute cardiac tamponade was seen and the blood was seen pumping from the longitudinal tear at the mid-level of LV posterior wall, measuring 2 cm in length. The cardiopulmonary bypass was set and LV reconstruction was done. The postoperative recovery was delayed due to the brain injury presumably caused by preoperative cardiac arrest. (Korean J Thorac Cardiovasc Surg 2005;38:717-720)

Keywords: 1. Heart septal defects, 2. Myocardial infanction, 3. Heart ventricle, 4. Ventricular rupture

Article

Case Report

Korean J Thorac Cardiovasc Surg 2005; 38(10): 717-720

Published online October 5, 2005

Copyright © Journal of Chest Surgery.

Surgical Treatment of Postinfarct Ventricular Double Rupture⁣A case report ⁣

Wan Ki Baek, M.D.*, Young Sam Kim, M.D.*, Young Han Yoon, M.D.*, Joung Taek Kim, M.D.*, Kwang Ho Kim, M.D.*, Hyun Kyoung Lim, M.D.**, Jun Kwan, M.D.***

Department of Thoracic and Cardiovascular Surgery, College of Medicine, Inha University, Department of Anesthesiology, College of Medicine, Inha University

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Here we report a case of posterior left ventricular (LV) free wall rupture following postinfarct ventricular septal rupture (VSR). A 58-year-old man was transferred to the hospital under the impression of acute myocardial infarction. Posterior VSR was seen on echocardiographic examination. The intraaortic balloon pump catheter was introduced percutaneously and the emergent operation was proposed. Sudden circulatory collapse was developed shortly after the anesthetic induction and the patient's chest was hurriedly opened while on cardiopulmonary resuscitation. The acute cardiac tamponade was seen and the blood was seen pumping from the longitudinal tear at the mid-level of LV posterior wall, measuring 2 cm in length. The cardiopulmonary bypass was set and LV reconstruction was done. The postoperative recovery was delayed due to the brain injury presumably caused by preoperative cardiac arrest. (Korean J Thorac Cardiovasc Surg 2005;38:717-720)

Keywords: 1. Heart septal defects, 2. Myocardial infanction, 3. Heart ventricle, 4. Ventricular rupture

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