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Surgery for left ventricular free wall rupture: patch glue repair without extracorporeal circulation
Sergio J Canovas1, Eric Lim, Fernando Hornero
1Department of Cardiac Surgery, University General Hospital, Valencia, Spain. sjcanovas@ono.com
Summary
This study introduces a simple patch glue repair technique for left ventricular free wall rupture after myocardial infarction. The method offers a viable surgical option with promising long-term survival rates.
Area of Science:
- Cardiology
- Cardiac Surgery
- Medical Devices
Background:
- Left ventricular free wall rupture is a life-threatening complication following myocardial infarction.
- Existing repair techniques can be complex and require extracorporeal circulation.
Purpose of the Study:
- To describe and evaluate a simple, expedient patch glue repair technique for left ventricular free wall rupture.
- To assess the safety and efficacy of this technique in patients undergoing surgical repair.
Main Methods:
- Median sternotomy for surgical access.
- Application of a Goretex patch using enbrucrilate surgical glue on the epicardium.
- Repair performed on a beating heart without extracorporeal circulation in 17 patients between 1993 and 2001.
Main Results:
- The surgical technique was successfully applied to 17 patients.
- An operative (30-day) mortality rate of 23.5% was observed.
- A post-discharge survival rate of 85% was achieved at a mean follow-up of 2.2 years.
Conclusions:
- Patch glue repair is a feasible and effective surgical option for left ventricular free wall rupture.
- This technique offers a simpler alternative to traditional methods, potentially improving patient outcomes.