Long-Term Usefulness of Percutaneous Intrapericardial Fibrin-Glue Fixation Therapy for Oozing Type of Left Ventricular Free Wall Rupture A Case Report

Shuji Joho; Hidetsugu Asanoi; Masao Sakabe; Keiko Nakagawa; Tomoki Kameyama; Tadakazu Hirai; Takashi Nozawa; Keiju Kotoh; Takuro Misaki; Masaki Jinbo; Hiroshi Inoue

doi:10.1253/circj.66.705

Case Report

Long-Term Usefulness of Percutaneous Intrapericardial Fibrin-Glue Fixation Therapy for Oozing Type of Left Ventricular Free Wall Rupture

A Case Report

Shuji Joho, Hidetsugu Asanoi, Masao Sakabe, Keiko Nakagawa, Tomoki Kameyama, Tadakazu Hirai, Takashi Nozawa, Keiju Kotoh, Takuro Misaki, Masaki Jinbo, Hiroshi Inoue

Author information

Shuji Joho
The Second Department of Internal Medicine
Hidetsugu Asanoi
The Second Department of Internal Medicine
Masao Sakabe
The Second Department of Internal Medicine
Keiko Nakagawa
The Second Department of Internal Medicine
Tomoki Kameyama
The Second Department of Internal Medicine
Tadakazu Hirai
The Second Department of Internal Medicine
Takashi Nozawa
The Second Department of Internal Medicine
Keiju Kotoh
The First Department of Surgery, Toyama Medical and Pharmaceutical University
Takuro Misaki
The First Department of Surgery, Toyama Medical and Pharmaceutical University
Masaki Jinbo
Internal Medicine, Himekawa Hospital
Hiroshi Inoue
The Second Department of Internal Medicine

Keywords: Acute myocardial infarction, Cardiac tamponade, Left ventricular free wall rupture, Percutaneous intrapericardial fibrin-glue fixation therapy

JOURNAL FREE ACCESS

2002 Volume 66 Issue 7 Pages 705-706

DOI https://doi.org/10.1253/circj.66.705

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Abstract

This report describes a long-term survival case of left ventricular free wall rupture treated with percutaneous intrapericardial fibrin-glue fixation therapy. A 82-year-old woman was admitted to the emergency room because of vomiting and syncope diagnosed as acute posterolateral myocardial infarction complicated by cardiac tamponade. After her hemodynamic condition was stabilized by drawing off the bloody pericardial effusion, fibrin-glue was injected into pericardial space with the expectation that the glue would cover the oozing site of the left ventricular epicardium. After this therapy, the patient recovered and did not have any no recurrent cardiac events for 1 year. Serial echocardiographic studies revealed a preserved left ventricular function and no development of left ventricular restriction. This case suggests that percutaneous intrapericardial fibrin-glue fixation therapy is an effective treatment for the oozing type of left ventricular free wall rupture and that there is no risk of left ventricular restriction during long-term follow-up. (Circ J 2002; 66: 705 - 706)

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