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[Surgical salvage of cardiac rupture: a case report]
Y Tomizawa1, M Endo, G Ohtsuka
1Department of Cardiovascular Surgery, Tokyo Women's Medical College.
Insights
A 39-year-old man survived acute cardiac rupture after myocardial infarction using fibrin glue and oxy-cellulose without cardiopulmonary bypass. This innovative technique successfully treated the life-threatening condition, allowing for an uneventful recovery.
Area of Science:
- Cardiology
- Cardiac Surgery
- Biomaterials in Medicine
Background:
- Acute myocardial infarction can lead to life-threatening cardiac rupture.
- Intra-pericardial fluid detected via echocardiography indicates potential cardiac tamponade or rupture.
- Prompt surgical intervention is crucial for managing cardiac rupture.
Observation:
- A 39-year-old male presented with acute myocardial infarction.
- Echocardiography revealed intra-pericardial fluid, suggesting cardiac complications.
- The patient required emergent surgical management.
Findings:
- Successful salvage of cardiac rupture was achieved using fibrin glue and oxy-cellulose.
- The surgical procedure was performed without the need for cardiopulmonary bypass.
- The patient experienced an uneventful post-operative course.
Implications:
- Fibrin glue and oxy-cellulose offer a viable alternative for repairing cardiac rupture.
- Minimally invasive techniques, avoiding cardiopulmonary bypass, can improve patient outcomes.
- This case highlights the potential for novel biomaterials in emergency cardiac surgery.
Abstract:
A 39-year-old man suffered from acute myocardial infarction. Echo cardiography showed the presence of intra-pericardial fluid. We had emergent operation. We successfully salvaged cardiac rupture with fibrin glue and oxy-cellulose without cardiopulmonary bypass. His post-operative course was uneventful. The patient was discharged on the seventh week after the operation. The problems of acute cardiac rupture were discussed.