Sandwich repair for postinfarction ventricular septal rupture and left ventricular rupture.
Homare OkamuraYuichiro KitadaAtsushi MiyagawaMamoru ArakawaPublished in: General thoracic and cardiovascular surgery (2020)
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.
Keyphrases
- left ventricular
- hypertrophic cardiomyopathy
- heart failure
- cardiac resynchronization therapy
- acute myocardial infarction
- left atrial
- mitral valve
- aortic stenosis
- liver failure
- patients undergoing
- respiratory failure
- minimally invasive
- single cell
- atrial fibrillation
- aortic dissection
- pulmonary artery
- intensive care unit
- coronary artery
- acute respiratory distress syndrome