Sutureless Treatment for Blow-out Type Left Ventricular Free Wall Rupture

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Macroscopic Findings of a “Blow-out” Ventricular Free Wall Rupture

A 68-year-old man was admitted with continuous chest pain for >8 hours. The initial twelve-lead electrocardiogram (Picture 1) suggested an ongoing broad anterior myocardial infarction (MI). He suddenly began to suffer from severe hypotension with massive pericardial effusion (Picture 2A) before any emergent cardiac intervention could be performed and he died despite undergoing cardiopulmonary r...

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Left ventricular pseudoaneurysm after sutureless repair of subacute left ventricular free wall rupture: a case report.

A 65-year-old woman presenting with a left ventricular pseudoaneurysm 27 months after sutureless repair of a subacute left ventricular free wall rupture complicating acute myocardial infarction is described. An autologous pericardial patch and gelatin resorcin formaldehyde (GRF) glue were used in the repair. A small pseudoaneurysm bulged out over the true aneurysm of the left ventricle. We perf...

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Off-pump sutureless repair for ischemic left ventricular free wall rupture: a systematic review

BACKGROUND Clinical results of ischemic left ventricular free-wall rupture show high mortality rates. METHODS We reviewed studies published after 1993 on PubMed. RESULTS A sutureless technique using fibrin glue sheets or patches with/without fibrin glue might contribute to improved clinical results. However, some technique limitations remain for blowout-type ruptures, and the possibility of...

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Sutureless off-pump repair of post-infarction left ventricular free wall rupture

Left ventricular free wall rupture after myocardial infarction has a high mortality. Suturing techniques of repair may be technically difficult and require cardiopulmonary bypass. We report a case of left ventricular rupture in a 47 year old man managed off pump employing a sutureless technique with Gelatine-Resorcin-Formalin glue and bovine pericardial patches.

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Successful infarct exclusion for postinfarction left ventricular free wall rupture.

The mortality of postinfarction left ventricular free wall rupture is still high. Several surgical techniques have been used for repairing such ruptures. Here, we describe using an infarction exclusion technique to successfully treat a case of a blow-out type postinfarction left ventricular free wall rupture. This technique has frequently been used for repairing postinfarction ventricular septa...

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ژورنال

عنوان ژورنال: Japanese Journal of Cardiovascular Surgery

سال: 2010

ISSN: 1883-4108,0285-1474

DOI: 10.4326/jjcvs.39.254