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Sutureless patch technique for postinfarction left ventricular rupture.

Kevin Lachapelle1, Benoit deVarennes, Patrick L Ergina

  • 1Division of Cardiac Surgery, McGill University Health Centre, Montreal, Quebec, Canada. kevin.lachapelle@mcgill.ca

The Annals of Thoracic Surgery
|July 18, 2002
PubMed
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A sutureless patch technique effectively treats left ventricular free wall rupture after myocardial infarction. This method offers a simple, successful approach with favorable outcomes for patients with this catastrophic cardiac event.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Medical Devices

Background:

  • Left ventricular free wall rupture is a rare but fatal complication of myocardial infarction.
  • Prompt diagnosis and surgical intervention are critical for patient survival.
  • Limited surgeon experience with this condition necessitates innovative treatment approaches.

Purpose of the Study:

  • To report the experience and outcomes of using a sutureless patch technique for treating postinfarction left ventricular rupture.
  • To evaluate the simplicity and effectiveness of this novel surgical approach.

Main Methods:

  • A retrospective review of 6 consecutive patients with postinfarction left ventricular rupture was conducted.
  • Patients were treated with a sutureless patch technique using felt and cyanoacrylate glue.

Related Experiment Videos

  • Coronary artery bypass grafting was performed in select cases.

    • Main Results:

    • All 6 patients were hemodynamically unstable at presentation.
    • The sutureless patch technique successfully sealed the myocardial tear in all patients.
    • Five out of six patients survived and were discharged, with long-term survival up to 7.5 years.

    Conclusions:

    • The sutureless patch technique is a simple and effective method for treating postinfarction left ventricular rupture.
    • This technique is associated with a favorable patient outcome.
    • It provides a viable surgical option for this life-threatening condition.