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Postinfarction Heart Rupture of Posterior Wall Repaired by Covering Patch

Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan

For reprint information contact: Naoyuki Kimura, MD Tel: 81 48 647 2111 Fax: 81 48 648 5188 Email: kimura-n{at}omiya.jichi.ac.jp, Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, 1-847 Amanuma-cho, Omiya, Saitama 330-0834, Japan.

A 46-year-old man underwent emergency surgery for heart rupture after acute infarction of the posterior wall. Echocardiography revealed limited myocardial thinning, so rather than sutureless repair, a covering patch was used in view of the risk of recurrent rupture. Postoperative echocardiography showed the myocardial thinning had progressed to a wide defect, and computed tomography demonstrated that the covering patch had prevented a repeat rupture.