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Eur J Cardiothorac Surg 1998;14:536-537
© 1998 Elsevier Science NL

Case report

Right ventricular rupture in minimally invasive direct coronary artery bypass grafting

Department of Cardiothoracic Surgery, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo Bunkyo-ku, Tokyo, 113-8655, Japan

Received 10 June 1998; received in revised form 5 August 1998; accepted 11 August 1998.

Corresponding author. Tel.: +81 3 58008654; fax: +81 3 56843989.

We report a rare case of the rupture of the right ventricle which occurred in a minimally invasive direct coronary artery bypass grafting (MIDCABG) for a redo bypass surgery. A 52-year-old male patient underwent a left internal thoracic artery (LITA) to the left anterior descending artery (LAD) bypass. Rupture of the right ventricle occurred abruptly during dissection to find the LAD. Too much dissection of the interventricular groove under undue traction of the pericardium may cause a rupture of the heart.

Key Words: Minimally invasive direct coronary artery bypass grafting • Rupture of the right ventricle