Abstract
A 71-year-old woman who was resuscitated from cardiac arrest after pericardial drainage was admitted to our hospital. Enhanced computed tomography demonstrated pericardial effusion due to rupture of posterior ventricular myocardium. She underwent emergent surgical repair. A 20-mm tear in the extensively necrotic left ventricular posterior wall and active hemorrhaging were identified. Sutureless repair using three sheets of TachoSil (CSL Behring, Tokyo, Japan) and fibrin glue was performed. To reduce ventricular pressure and avoid re-rupture and formation of ventricular aneurysm, deep sedation was continued in the intensive-care unit for two weeks. At more than five months since the surgery, the patient has returned to her normal daily life and is progressing well.
