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Ann Thorac Surg 1987;44:312-314
© 1987 The Society of Thoracic Surgeons

Articles

Successful Management of Left Ventricular Rupture Following Myocardial Revascularization

Robert M. Bojar, M.D.*, John W. Overton, Jr., M.D., Irving M. Madoff, M.D.

Department of Cardiothoracic Surgery, St. Elizabeth's Hospital, and the New England Medical Center Hospitals, Boston, MA

Accepted for publication October 28, 1986.

* Address reprint requests to Dr. Bojar, Box 266, New England Medical Center, 171 Harrison Ave, Boston, MA 02111.

Left ventricular (LV) rupture is a common cause of death following myocardial infarction, but it is rarely noted following coronary bypass surgery. This is true despite the increasing number of coronary bypass operations performed for postinfarction angina, often following transmural infarction. A 59-year-old woman underwent successful repair of left ventricular free-wall rupture that occurred after coronary surgery performed for postinfarction angina. To our knowledge, this is the first report to establish the feasibility of successful surgical repair of left ventricular free-wall rupture in the postoperative patient with tamponade or intrathoracic bleeding.






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Copyright © 1987 by The Society of Thoracic Surgeons.