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

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.