Left ventricular free wall rupture (LVFWR) is a catastrophic complication of myocardial infarction. In these cases, cardiopulmonary bypass (CPB) should be performed for left ventricular repair, but can impact hemodynamic stability. An 87-year-old man presented with acute shock. He was diagnosed with LVFWR after myocardial infarction. We describe a simple, effective, and reproducible technique to achieve hemostasis at the LVFWR site during emergency operation using Hydrofit® and Surgicel® surgical hemostatic agents. We simply placed and manually pressed the Hydrofit® and Surgicel® composite on the bleeding site. This technique provides complete hemostasis without CPB establishment.
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Conflict of interest
Hikaru Ishii, MD, Hidehito Endo, MD, Hiroshi Tsuchiya, MD, Yusuke Inaba, MD, Katsunari Terakawa, MD, and Hiroshi Kubota, MD declare that they have no conflict of interest.
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Ishii, H., Endo, H., Tsuchiya, H. et al. Off-pump hemostasis for left ventricular rupture after myocardial infarction with Hydrofit® and Surgicel®. Gen Thorac Cardiovasc Surg 66, 753–755 (2018) doi:10.1007/s11748-018-0928-8
- Acute myocardial infarction
- Left ventricle rupture
- Off-pump hemostasis