Abstract
We report on the successful surgical treatment of a blow-out type left ventricular free wall rupture (LVFWR), which had been diagnosed as an oozing type LVFWR. After full sternotomy, cardiac rupture suddenly occurred, and the pericardial cavity filled within blood in a few seconds. Because we could not secure a field of vision, it was difficult to apply a cardio-pulmonary bypass (CPB) by direct cannulation via the ascending aorta. Based on this experience, we recommend that given a diagnosis of oozing type LVFWR: access to the femoral artery and vein are prepared before full sternotomy in case a CPB becomes necessary for maintaining hemodynamics.
