Off-pump hemostasis for left ventricular rupture after myocardial infarction with Hydrofit® and Surgicel®

• DOI: 10.1007/s11748-018-0928-8
• Publication Date: 2018-04-24T10:48:03Z
• Authors: Hikaru Ishii; Hidehito Endo; Hiroshi Tsuchiya; Yusuke Inaba; Katsunari Terakawa; Hiroshi Kubota
• Keywords: Aged, 80 and over; Male; Hemostasis; Cardiopulmonary Bypass; Heart Ventricles; Heart Rupture; Myocardial Infarction; Hemostatics; 3. Good health; 03 medical and health sciences; 0302 clinical medicine; Humans; Cellulose, Oxidized; Cardiac Surgical Procedures; Heart Rupture, Post-Infarction

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.