Document Detail

Long-term usefulness of percutaneous intrapericardial fibrin-glue fixation therapy for oozing type of left ventricular free wall rupture: a case report.
MedLine Citation:
PMID:  12135143     Owner:  NLM     Status:  MEDLINE    
This report describes a long-term survival case of left ventricular free wall rupture treated with percutaneous intrapericardial fibrin-glue fixation therapy. A 82-year-old woman was admitted to the emergency room because of vomiting and syncope diagnosed as acute posterolateral myocardial infarction complicated by cardiac tamponade. After her hemodynamic condition was stabilized by drawing off the bloody pericardial effusion, fibrin-glue was injected into pericardial space with the expectation that the glue would cover the oozing site of the left ventricular epicardium. After this therapy, the patient recovered and did not have any no recurrent cardiac events for 1 year. Serial echocardiographic studies revealed a preserved left ventricular function and no development of left ventricular restriction. This case suggests that percutaneous intrapericardial fibrin-glue fixation therapy is an effective treatment for the oozing type of left ventricular free wall rupture and that there is no risk of left ventricular restriction during long-term follow-up.
Shuji Joho; Hidetsugu Asanoi; Masao Sakabe; Keiko Nakagawa; Tomoki Kameyama; Tadakazu Hirai; Takashi Nozawa; Keiju Kotoh; Takuro Misaki; Masaki Jinbo; Hiroshi Inoue
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Circulation journal : official journal of the Japanese Circulation Society     Volume:  66     ISSN:  1346-9843     ISO Abbreviation:  Circ. J.     Publication Date:  2002 Jul 
Date Detail:
Created Date:  2002-07-23     Completed Date:  2003-06-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  101137683     Medline TA:  Circ J     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  705-6     Citation Subset:  IM    
The Second Department of Internal Medicine, Toyama Medical and Pharmaceutical University, Japan.
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MeSH Terms
Administration, Cutaneous
Aged, 80 and over
Cardiac Tamponade
Fibrin Tissue Adhesive / administration & dosage*
Heart Rupture, Post-Infarction / drug therapy*,  physiopathology
Hemostatics / administration & dosage
Myocardial Infarction / complications
Ventricular Dysfunction, Left / drug therapy,  physiopathology
Ventricular Septal Rupture / drug therapy,  physiopathology
Reg. No./Substance:
0/Fibrin Tissue Adhesive; 0/Hemostatics

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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