Left ventricular free wall rupture after surgery for ventricular septal rupture.

Autor: Uchimuro, Tomoya, Osako, Motohiko, Gotou, Tetsuya, Yamada, Toshiyuki, Yoon, Ryogen
Zdroj: Asian Cardiovascular & Thoracic Annals; Nov2018, Vol. 26 Issue 9, p697-700, 4p
Abstrakt: A 67-year-old man presented with late left ventricular free wall rupture 1 month after an extended sandwich technique through a right ventricular incision for ventricular septal rupture following an inferoposterior acute myocardial infarction. We found that residual infarcted myocardium had led to left ventricular aneurysm formation. A pericardial patch on the left ventricular side at the initial operation should have been secured further from the septal defect using a larger needle. A patch on the left ventricular side is important for complete exclusion of a free wall infarction and for decreasing the stress on the suture line securing the patch. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index