Left ventricular free wall rupture caused by myocardial ischemia without treatable atherosclerotic coronary disease: a case series

Table 1 Perioperative and operative patient data

	24 h pre-OP	1 h pre-OP	Skin Incision Pre-OP		Skin Closure Post-OP		6 h Post-OP	12 h Post-OP	24 h Post-OP	72 h post-OP
Patient	I	I	I	II	I	II	II	II	II	II
Arterial BGA	Air	P-Drain	ECMO	MV	ECMO	MV	I-CPAP	6 L O₂	2 L O₂	Air
pH	7.346	7.097	7.021	7.184	7.212	7.408	7.418	7.402	7.443	7.437
Hb,	11.9	11.2	4.5	14.1	7.0	9.4	9.6	9.9	8.8	8.5
Htc,	0.32	34.6	14.5	43.2	21.8	29.2	29.8	30.6	27.4	26.5
pO₂, mmHg	59.7	98.4	401	188	300	194	125	88.7	95.8	97.2
pCO₂, mmHg	35.9	22.7	32.2	24.6	47.1	40.2	40.2	45.6	37.8	39.3
Sat O₂, %	92.3	93.2	98.9	98.8	99.2	99.1	99.1	96.3	96.9	97.3
Lactate, mmol/L	0.4	13.9	20.9	9.6	18	3.4	2.5	1.8	1.2	0.9
Chemistry
Pro-BNP, pg/ml	697	1156		3256		2240				749
hs Troponin I	3602	2681		3006		5500	11,000	16,000	13,000	9000
CK-MB, U/L	42	25		< 24		69	52	47	37	15
CK, U/L	305	273		175		433	735	902	799	58
LDH,	501	377		1454		2064	2359	1945	1094	318
Potassium	4.3	4.6	7.2	5.1	6.7	5.7	5.0	4.5	4.1	4.0
ALT, U/L	62	46		1256		1329	1136	774	209	122
Bilirubin,	0.43	0.95		0.94		0.59	0.63	0.59	0.46	0.41
Creatinine, mg/dl	0.85	0.98		1.31		1.20	1.37	1.07	0.98	0.77
WBC, k/µl	11.2	13.2		15.4		20.9	18.2	15.8	11.4	9.3
CRP, mg/dl	174.8	217		49.9		33.0	132.6	222.6	156.9	108.6
Myoglobin,	49	88		244		711	368	269

Legend
pre-, intra- and post-operative (OP) laboratory data of patient I (I) and patient II (II).
P-Drain, pericardial drainage; MV, mechanical ventilation; I-CPAP, invasive CPAP; 6 L O2, 6 L/min nasal oxygen supplementation;
ECMO, peripheral veno-arterial extracorporeal membrane oxygenator

ISSN: 1749-8090