In a 59-year-old man, Left ventricular free wall rupture following acute my
ocardial infarction was diagnosed by transthoracic echocardiography, left v
entriculography and a combination of saline injection into the left ventric
le and concomitant transthoracic echocardiography. The Operation was succes
sfully performed with an extracorporeal bypass on the beating heart. Some t
echnical aspects of the treatment are discussed.