Repair of Post-Infarction Ventricular Free Wall Rupture With TachoSil®

Gholampour-Dehaki, Maziar; Javadikasgari, Hoda; Zare, Asghar; Madani, Mohsen

doi:10.5812/ircmj.27146

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“…Hence, they do not decrease the size of the left ventricular cavity [ 5 ]. Additionally, a TachoSil (Takeda, Osaka, Japan) patch could be used in the oozing type of myocardial ruptures because, instead of glue, the patch has fibrinogen and thrombin, which help to apply it [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Left Ventricular Free Wall Rupture in Transmural Myocardial Infarction

Khalid

Seepana

Sundhu

et al. 2017

Cureus

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Left ventricular free wall rupture (LVFWR) is a grave complication of acute myocardial infarction (MI). We report a case of a 73-year-old male who developed LVFWR five days after a transmural MI. The diagnosis was confirmed with echocardiography, which showed a large pericardial effusion with a clot in the pericardial sac. This case emphasizes that a high index of clinical suspicion for the acute mechanical complications of MI should be present when managing patients with transmural MIs. In addition, stat echocardiography is necessary to diagnose LVFWR and initiate treatment.

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Section: Discussionmentioning

confidence: 99%