A Case of Blow-Out Type Cardiac Rupture after Acute Myocardial Infarction

(Division of Cardiovascular Surgery, Yokohama City University Medical Center, Yokohama, Japan)

Motohiko Goda Kiyotaka Imoto Shinichi Suzuki
Keiji Uchida Kensuke Kobayashi Koichiro Date
Toshiki Hatsune Makoto Okiyama Makoto Kato
A 83-year-old woman suffered pulseless-electrical-activity (PEA) because of cardiac tamponade after acute myocardial infarction with blow-out type cardiac rupture. Immediately median sternotomy was performed and active bleeding from the postero-lateral wall was found. It was impossible to stop bleeding only by putting pressure on the aperture of the myocardium with a piece of TachoComb coated with gelatin-resorcinol-formaldehyde (GRF) glue, however, the chemical action of GRF glue made the delicate myocardium after acute infarction stronger and we managed to stop that bleeding with mattress sutures that had initially seemed to be impossible. She was discharged on POD 103 uneventfully. We think this is a useful and safe operation procedure for blow-out type cardiac rupture.
@Jpn. J. Cardiovasc. Surg. 36: 269-272 (2007)