JAPANESE CIRCULATION JOURNAL
Online ISSN : 1347-4839
Print ISSN : 0047-1828
ISSN-L : 0047-1828
Case Reports
Oozing Type Cardiac Rupture Repaired With Percutaneous Injection of Fibrin-Glue Into the Pericardial Space
- Case Report -
Hiroshi MurataMasatoshi MasuoHiroshi YoshimotoJunko ToyamaMunehiko ShimadaYukio ShimamuraHiroshi HojoKiyoshi KondoShigehiro KitamuraYasusada Miura
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2000 Volume 64 Issue 4 Pages 312-315

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Abstract

Two patients, a 56-year-old man and an 81-year-old woman who were admitted to hospital because of anteroseptal acute myocardial infarction, were initially treated successfully with direct percutaneous transluminal coronary angioplasty. However, both patients later developed sudden cardiogenic shock due to cardiac tamponade caused by left ventricular free wall rupture (LVFWR). Prompt, life-saving pericardiocentesis was performed, then fibrin-glue was percutaneously injected into the pericardial space. After the procedure, there was no detectable pericardial effusion on echocardiography and the hemodynamic state became stable. The surgical treatment was the standard procedure for LVFWR, but percutaneous fibrin-glue therapy can also be considered for oozing type LVFWR.

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© 2000 THE JAPANESE CIRCULATION SOCIETY
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