ArticleSurgical case reports2026
A Case of a Cardiac Re-Rupture Caused by the Removal of Pericardial Patches Late after a Sutureless Repair for a Cardiac Rupture.
Article in Surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
introductionSurgical treatment is the only reliable therapeutic option for a left ventricular free wall rupture (LVFWR). There are 2 major surgical techniques, namely, sutureless repair and sutured repair; a ventricular pseudoaneurysm is a late postoperative complication. We herein report a case of a re-ruptured left ventricular pseudoaneurysm after a sutureless bovine pericardial patch repair. CASE PRESENTATION: The patient was a 79-year-old woman who underwent a sutureless pericardial patch repair for a blow-out-type left ventricular rupture following an anterior myocardial infarction 10 months previously. She was referred to Fujita Health University Okazaki Medical Center with a diagnosis of thoracic empyema and a suspected pericardial patch infection. Pleural effusion was positive for a few
conclusionsLeft ventricular pseudoaneurysm formation is a notable late complication that should be carefully monitored during the postoperative follow-up after surgery for LVFWR. We encountered a case of a re-ruptured left ventricular pseudoaneurysm after a sutureless bovine pericardial patch repair. The possibility of re-rupture must be considered because the myocardial tissue beneath the pericardial patch might disappear and be replaced with an organizing hematoma.
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