Blow-out型左室自由壁破裂に対するsutureless法

Successful Treatment of Blow-out Type Left Ventricular Free Wall Rupture Using Sutureless Technique

急性心筋梗塞後の左室自由壁破裂（left ventricular free wall rupture：LVFWR）は重篤な合併症であり，その頻度は約2～4％と非常にまれである1）．われわれはblow-out型左室自由壁破裂に対してsutureless法を用いて救命しえた症例を経験したので，若干の文献的考察を加味して報告する．

Blow-out type left ventricular free wall rupture is a serious complication of acute myocardial infarction, that carries high hospital mortality rates and poor surgical outcome. We report the case of an 88-year-old woman who developed cardiac tamponade following percutaneous coronary angioplasty for acute myocardial infarction. She was diagnosed with left ventricular free wall rupture, and rupture type was proved to be blow out after median sternotomy. To address this critical condition, we opted for the sutureless technique for its minimally invasive nature and ability to preserve left ventricular function. The patient was discharged from the hospital without any complications 22 days after surgery. Considering favorable, encouraging outcomes of this case, sutureless technique could be regarded as a viable option for blow-out type left ventricular free wall rupture.