Introduction
Left ventricular free wall rupture (LVFWR) often occurs within 24 hours
after myocardial infarction, and is a serious condition causing cardiac
arrest due to cardiac tamponade [1]. As emergency measures,
relieving the cardiac tamponade by pericardiocentesis and initiating
venoarterial extracorporeal membrane oxygenation (VA ECMO) are
considered. However, in cases of cardiac arrest, it is difficult to
perform pericardiocentesis during chest compressions, and emergency left
thoracotomy or initiating ECMO may be considered [2–4]. We
experienced a case of cardiopulmonary arrest (CPA) due to LVFWR that was
treated with VA ECMO and immediate induction of targeted temperature
management (TTM).