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A Case of Sutureless Patch Repair for Postinfarction Left Ventricular Free Wall Rupture under PCPS Yoshifumi Kunii 1 , Masaaki Koide 1 , Yoshikazu Ayusawa 1 , Hiroharu Hikawa 1 1Department of Cardiovascular Surgery, Seirei Hamamatsu general Hospital Keyword: 左室自由壁破裂 , 経皮的心肺補助 , パッチ修復術 , LV free wall rupture , PCPS , sutureless patch repair pp.1155-1159
Published Date 2003/11/1
DOI https://doi.org/10.11477/mf.1404100752
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Summary

We present a case of sutureless patch repair for postinfarction left ventricular free wall rupture using PCPS. A 74 years old man was admitted in our hospital with chest pain and temporary faintness. His diagnosis was postinfarction left ventricular free wall rupture(oozing type)of posterolateral wall based on ECG findings and free space in echocardiography, so the IABP was immediately used for to reduce afterload of left ventricular. Eleven days after administration, his hemodynamics deterorated, and the emergent operation was decided. PCPS was established before general anesthesia and the operation was performed through left thoracotomy of the 4th intercostal space. The infarction area was reinforced with Gelatin Resorcin Formaldehyde(R)glue and covered with bovine pericardial patch. We suggest that this method is effective without left ventricular volume reduction and bleeding of infarctectomy.


Copyright © 2003, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

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