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Junjiro Kobayashi
Osamu Tagusari
Yoshikado Sasako
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Interactive Cardiovascular and Thoracic Surgery 2:94-96(2003)
© 2003 European Association of Cardio-Thoracic Surgery

Negative results - Coronary

A huge pseudoaneurysm of the left ventricle after simple gluing of an oozing-type postinfarction rupture

Satsuki Fukushima, Junjiro Kobayashi*, Osamu Tagusari and Yoshikado Sasako

Department of Cardiovascular Surgery, National Cardiovascular Center, 5-7-1 Fujishirodai, Suita, Osaka 565-8565, Japan

* Corresponding author. Tel.: +81-6-6833-5012; fax: +81-6-6872-7486
jkobayas{at}hsp.ncvc.go.jp

Objective: Left ventricular free wall rupture is a major complication after myocardial infarction. Simple gluing for a rupture site, without a cardiopulmonary bypass, has been reported useful. Methods: We experienced a left ventricular pseudoaneurysm, of 8 cm in size, emerging at a previous rupture site 1 year after gluing with TachoComb for an oozing-type rupture due to an acute anteroseptal myocardial infarction. Results: The pseudoaneurysm was successfully extirpated, under a cardiopulmonary bypass, with induction of ventricular fibrillation. Conclusions: Patients, after simple gluing for a left ventricular free wall rupture, should be carefully followed up regarding the occurrence of a pseudoaneurysm at the repair site.

Key Words: Postinfarction left ventricular free wall rupture; Oozing-type left ventricular rupture; Simple gluing; Left ventricular pseudoaneurysm




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A. Aris
Surgical repair of left ventricular free wall rupture
MMCTS, January 4, 2005; 2005(0104): 653.
[Abstract] [Full Text] [PDF]


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