Introduction
Post-infarction left ventricular free wall rupture (LVFWR) is a life-threatening disease, for which the reported mortality is 42.9%. (1) In particular, the blow-out type is catastrophic, and immediate surgery is necessary for the patient to survive. Although several surgical methods have been reported, including suture repair and sutureless repair, the relative success rates of these surgeries are uncertain. Recently, the sutureless repair of LVFWR has been gaining in popularity, but this approach may not be sufficient for hemostasis in patients with blow-out type. (1) Furthermore, sutureless repair may be followed by re-rupture and formation of ventricular aneurysm.
Here, we report a successful treatment of blow-out LVFWR via sutureless repair and deep sedation for 2 weeks after the surgery.