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1. Left ventricular-free wall rupture after successful coronary intervention: Report of a case

Author

Yoshikazu Fujiwara, Suguru Shiraya, Kengo Nishimura, Satoshi Kamihira, Motonobu Nishimura, Shingo Harada, Yoshinobu Nakamura, and Shingo Ishiguro

Subjects
medicine.medical_specialty, Heart Ventricles, medicine.medical_treatment, Perforation (oil well), Heart Rupture, Myocardial Infarction, Autopsy, Coronary Angiography, Diagnosis, Differential, Fatal Outcome, Suture (anatomy), Internal medicine, medicine, Humans, cardiovascular diseases, Myocardial infarction, Angioplasty, Balloon, Coronary, Cardiac Surgical Procedures, Aged, business.industry, Suture Techniques, Percutaneous coronary intervention, General Medicine, medicine.disease, Surgery, Conventional PCI, Cardiology, Female, Tamponade, business, Reperfusion injury, Follow-Up Studies
Abstract

We experienced the case of a left ventricular-free wall rupture (LVFWR) following successful coronary intervention for acute myocardial infarction (AMI). A 73-year-old woman was hospitalized because of chest oppression that had been continuing for 8 days. She was diagnosed to have AMI, and percutaneous coronary intervention (PCI) was performed. PCI was successful. However, immediately following PCI, she developed electromechanical dissociation secondary to tamponade because of blow-out-type LVFWR. The perforation tear was initially closed by a direct suture, followed by reinforcement using bovine pericardium patches sealed with GRF glue. The patient died of irreversible brain damage on postoperative day 3, but no re-bleeding or aneurysmal dilatation was detected at autopsy.

Published
2008
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2. Mycotic Abdominal Aortic Pseudoaneurysm Caused by a Penetrating Atherosclerotic Ulcer: Report of a Case

Author

Maromi Tachibana, Masahiko Ikebuchi, Kengo Nishimura, Munehiro Saiki, Tohru Hiroe, Shigetsugu Ohgi, and Yasushi Kanaoka

Subjects
medicine.medical_specialty, Abdominal pain, Abdominal Abscess, Arteriosclerosis, medicine.medical_treatment, Pseudoaneurysm, Aneurysm, Penetrating atherosclerotic ulcer, medicine.artery, Laparotomy, medicine, Humans, Aorta, Abdominal, cardiovascular diseases, Abscess, Ulcer, Aged, Aged, 80 and over, Aorta, business.industry, Angiography, Jejunal Diseases, General Medicine, Mycotic aneurysm, medicine.disease, Surgery, cardiovascular system, Female, Radiology, medicine.symptom, Tomography, X-Ray Computed, business, Aneurysm, Infected, Aneurysm, False
Abstract

We report a case of mycotic abdominal aortic pseudoaneurysm caused by a penetrating atherosclerotic ulcer (PAU). An 81-year-old woman was admitted to a local hospital with fever and abdominal pain, and when her symptoms were not improved by antibiotics, she was referred to our department. Computed tomography (CT) and angiography showed a saccular aneurysm below the renal arteries, and an emergency laparotomy was performed because we suspected a mycotic abdominal aortic pseudoaneurysm. An abscess was found on the proximal side of the jejunum, caused by an aneurysm penetrating the serosa. We diagnosed a mycotic pseudoaneurysm after finding the anterior wall of the aorta penetrated by intense calcification. The pseudoaneurysm was resected with the abscess and the area was covered with a pedicled omental flap to prevent infection. An axillofemoral bypass was also done. The patient recovered well.

Published
2003
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3. Left ventricular-free wall rupture after successful coronary intervention: Report of a case.

Author

Yoshinobu Nakamura, Kengo Nishimura, Shingo Harada, Yoshikazu Fujiwara, Suguru Shiraya, Satoshi Kamihira, Shingo Ishiguro, and Motonobu Nishimura

Subjects
*HEART diseases, *DISEASES in older women, *MYOCARDIAL infarction, *CORONARY disease, *BRAIN damage
Abstract

Abstract  We experienced the case of a left ventricular-free wall rupture (LVFWR) following successful coronary intervention for acute myocardial infarction (AMI). A 73-year-old woman was hospitalized because of chest oppression that had been continuing for 8 days. She was diagnosed to have AMI, and percutaneous coronary intervention (PCI) was performed. PCI was successful. However, immediately following PCI, she developed electromechanical dissociation secondary to tamponade because of blow-out-type LVFWR. The perforation tear was initially closed by a direct suture, followed by reinforcement using bovine pericardium patches sealed with GRF glue. The patient died of irreversible brain damage on postoperative day 3, but no re-bleeding or aneurysmal dilatation was detected at autopsy. [ABSTRACT FROM AUTHOR]

Published
2008
Full Text
View/download PDF

4. Mycotic Abdominal Aortic Pseudoaneurysm Caused by a Penetrating Atherosclerotic Ulcer: Report of a Case.

Author

Munehiro Saiki, Kengo Nishimura, Masahiko Ikebuchi, Tohru Hiroe, Maromi Tachibana, Yasushi Kanaoka, and Shigetsugu Ohgi

Subjects
ULCERS, ANEURYSMS, ANTIBIOTICS
Abstract

We report a case of mycotic abdominal aortic pseudoaneurysm caused by a penetrating atherosclerotic ulcer (PAU). An 81-year-old woman was admitted to a local hospital with fever and abdominal pain, and when her symptoms were not improved by antibiotics, she was referred to our department. Computed tomography (CT) and angiography showed a saccular aneurysm below the renal arteries, and an emergency laparotomy was performed because we suspected a mycotic abdominal aortic pseudoaneurysm. An abscess was found on the proximal side of the jejunum, caused by an aneurysm penetrating the serosa. We diagnosed a mycotic pseudoaneurysm after finding the anterior wall of the aorta penetrated by intense calcification. The pseudoaneurysm was resected with the abscess and the area was covered with a pedicled omental flap to prevent infection. An axillofemoral bypass was also done. The patient recovered well. [ABSTRACT FROM AUTHOR]

Published
2003

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