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Oozing type cardiac rupture repaired with percutaneous injection of fibrin-glue into the pericardial space: case report.

Authors
  • Murata, H
  • Masuo, M
  • Yoshimoto, H
  • Toyama, J
  • Shimada, M
  • Shimamura, Y
  • Hojo, H
  • Kondo, K
  • Kitamura, S
  • Miura, Y
Type
Published Article
Journal
Japanese circulation journal
Publication Date
Apr 01, 2000
Volume
64
Issue
4
Pages
312–315
Identifiers
PMID: 10783056
Source
Medline
License
Unknown

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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