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.