Case report of surgical repair of left ventricular free wall rupture using GRF® glue and pericardial patch
| Autor: | Hiroyuki Tsukui, Takehide Akimoto, Kouhei Abe, Masayuki Mukaida, Kuniyoshi Ohara |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
medicine.medical_specialty
Percutaneous Heart Ventricles Chest pain Formaldehyde Internal medicine Cardiac tamponade medicine Humans cardiovascular diseases Myocardial infarction Aged Heart Rupture Post-Infarction Bioprosthesis Urokinase business.industry Extracorporeal circulation Resorcinols medicine.disease Surgery Coronary arteries Drug Combinations medicine.anatomical_structure Blood pressure cardiovascular system Cardiology Gelatin Female Tissue Adhesives medicine.symptom Cardiology and Cardiovascular Medicine business Pericardium medicine.drug |
| Zdroj: | The Japanese Journal of Thoracic and Cardiovascular Surgery. 46:898-901 |
| ISSN: | 1863-2092 1344-4964 |
| DOI: | 10.1007/bf03217841 |
| Popis: | A 73-year-old woman with acute myocardial infarction (Seg. 6:100%) was admitted to our hospital. She underwent percutaneous transluminal angioplasty (PTCA) and stent insertion to Seg. 6 on that day and anticoagulant therapy with urokinase and heparin was started in CCU. On the 4th day, chest pain developed suddently and echocardiography revealed cardiac tamponade, so we suspected left ventricular free wall rupture. When blood pressure increased to 100 mmHg in the operating room, the left ventricular free wall rupture became “blow out” type. After establishing extracorporeal circulation, we glued Xenomedica and autologous pericardium using gelatin-resorcin-formaldehyde glue (GRF® glue) to the linear tear without damaging the myocardium and coronary arteries and reducing left ventricular volume. Bleeding was completely controlled. This experience suggests that this procedure might be effective for left ventricular free wall rupture. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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