J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 2323KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 88(9): 1130-1133, 1987

Report on the annual meeting

URGENT SURGERY FOR MECHANICAL COMPLICATINS AFTER ACUTE MYOCARDIAL INFARCTION

Division of Cardiovascular Surgery, Hyogo Brain and Heart Center, Himeji, Japan
*) Second Surgical Department, Kobe University, School of Medicine, Himeji, Japan

Kyoichi Ogawa, Shinichiro Yamamoto, Moritsugu Nakao, Tatsuro Asada, Masao Okamura*), Hiroaki Tsuruta*), Kazuo Nakamura*)

From January 1982 to December 1986, 11 patients with mechanical complications of acute myocardial infarction were operated on within 5 days of their onsets on an urgent basis. Six patch repairs for ventricular septal rupture (VSR), 2 mitral annuloplasties with aortocoronary bypass and 2 mitral valve replacements for severe mitral regurgitation (MR) and 2 left ventricular free wall repairs for blowout cardiac rupture (BCR) were performed in these patients.
There are 3 long-term survivors of the 6 patients with VSR, 3 of the 4 with MR and 1 of the 2 with BCR.
In one patient, papillary muscle rupture took place 15 days after the repair of BCR and urgent mitral valve replacement could save the patient.
Immediate open heart massage on the basis of clinical judgement alone followed by a repair under extracorporeal circulation is necessary to salvage a critical patient with BCR.
For the treatment of mechanical complications of acute myocardial infarction, we recommend urgent operation with a hemodynamic support of IABP.

<< To previous pageTo next page >>

To read the PDF file you will need Adobe Reader installed on your computer.