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Ann Thorac Surg 2003;76:921-923
© 2003 The Society of Thoracic Surgeons

Case reports

Spontaneous cardiac rupture

Chia-Hsun Lin, MDa, Ming-Jen Lu, MDa*, Samuel Haw-Han Chieng, MDa, Chi-Ren Hung, MDa

a Division of Cardiovascular Surgery, Department of Surgery, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan

Accepted for publication February 14, 2003.

* Address reprint requests to Dr Lu, Department of Surgery, Shin Kong Wu Ho-Su Memorial Hospital, No. 95, Wen-Chang Road, Shih-lin District 111, Taipei, Taiwan
e-mail: m000726{at}ms.skh.org.tw

An 83-year-old woman had a sudden onset of loss of consciousness with no detectable blood pressure. Pulseless electrical activity was present in the electrocardiogram and massive pericardial effusion was found by echocardiography. Emergent subxiphoid pericardiotomy and drainage was immediately performed to release the cardiac tamponade at bedside and was followed by rushing the patient to the operating room for exploration. As a result a ruptured hole was identified on the posterior-lateral wall of the left ventricle and the defect was successfully repaired. The patient had an uneventful postoperative recovery and received postoperative study by cardiac catheterization, which disclosed coronary artery disease.






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