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Postinfarction Left Ventricular Free Wall Rupture: Original Management and Surgical Technique
Author(s) -
ZOGNO M.,
CANNA G.,
CECONI C.,
FERRARI M.,
LATINI L.,
LORUSSO R.,
SANDRELLI L.,
ALFIERI O.
Publication year - 1991
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.1991.tb00336.x
Subject(s) - medicine , pericardium , extracorporeal circulation , fibrous joint , fibrin glue , hemodynamics , cardiology , surgery , myocardial infarction , median sternotomy
A bstract A case of postinfarction left ventricular free wall rupture is successfully treated. Prompt diagnosis was provided by echocardiography and an emergency operation was carried out. Following sternotomy, hemodynamic stabilization was obtained by gradually evacuating blood from the pericardium, while the femoral vessels were cannulated and the extracorporeal circulation was established. An autologous glutaraldehyde stiffened pericardial patch was sealed over the infarcted area using fibrin glue and fixed with a running suture on the surrounding healthy myocardium.