Sandwich repair for postinfarction ventricular septal rupture and left ventricular rupture.

General Thoracic and Cardiovascular Surgery
Homare OkamuraMamoru Arakawa

Abstract

A 77-year-old woman who presented with chest pain was diagnosed with acute anterior myocardial infarction. Echocardiography revealed pericardial effusion, and she underwent sutureless repair for postinfarction left ventricular free wall rupture. Echocardiography performed 2 days postoperatively revealed ventricular septal rupture and left ventricular acute dilatation. Hemodynamic instability with ventricular tachycardia and rapid decline of kidney function developed. Four days after the primary surgery, we performed successful sandwich repair for ventricular septal rupture and the dilatation. Her postoperative course was uneventful, and postoperative evaluation did not show a residual shunt or left ventricular dilatation.

References

Nov 1, 1995·The Journal of Thoracic and Cardiovascular Surgery·T E DavidZ Sun
May 31, 2012·Seminars in Thoracic and Cardiovascular Surgery·Tohru AsaiTakeshi Kinoshita
Feb 21, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Soh HosobaMasato Hayakawa
Jan 20, 2016·General Thoracic and Cardiovascular Surgery·Tohru Asai
Oct 17, 2016·General Thoracic and Cardiovascular Surgery·Susumu IsodaMunetaka Masuda

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