Successful Surgical Repair Case of Cardiac Rupture after Acute Myocardial Infarction

(Department of Cardiovascular Surgery, Hachinohe City Hospital, Hachinohe, Japan)

Taro Hayashi Katsuo Matsuki , Hidenori Fujiwara
Blow-out type cardiac rupture after acute myocardial infarction(AMI)is usually a fatal complication. We report the case of a 64-year-old man, admitted to our hospital for AMI with cardiac shock. ECG and echocardiography showed a cardiac rupture after anterior AMI. We performed an emergency operation with a percutaneous cardiopulmonary support system(PCPS)and intra-aortic balloon pumping(IABP). The actively bleeding site, located at the anterior wall, was approximated using a large mattress suture with felt strips to close the rupture site, and the site was covered with fibrin glue. The patient was discharged on POD 48. We report a successful surgery for a case of blow-out type cardiac rupture after AMI.
  Jpn. J. Cardiovasc. Surg. 38:22-25(2009)