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JPY
Abstract
We successfully repaired left ventricular free wall rupture in a 91-year-old woman. She wasadmitted to our hospital because of consciousness loss. Blood pressure was only 60mmHg onarrival. Contrast-enhanced computed tomography (CT)demonstrated massive pericardial effusionand transmural contrast defect of the left ventricular lateral wall in the delayed phase.Upon surgery there was massive clot around the heart. A localized infracted area on the leftventricular lateral wall was exposed using off-pump coronary artery bypass (OPCAB)technique.There was mild bleeding only during diastolic phase. Three mattress sutures of3-0prolene withTeflon felt strips were placed to control the bleeding under beating heart. A sheet of collagenand fibrin glue was also applied. Postoperative course was uneventful. This type of leftventricular rupture could be less invasively repaired by off-pump technique. As far as weinvestigated, this is the oldest patient of ventricular free wall rupture successfully repaired.
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