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Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
Immediate primary transcatheter closure of left ventricular free wall rupture after myocardial infarction
1Sakarya Education and Research Hospital, Sakarya, Turkey. bulentvatan@hotmail.com
Abstract:
Left ventricular free wall rupture due to acute myocardial infarction (MI) is an infrequent but fatal complication that occurs especially during the 1st week of MI. Emergency surgical intervention is essential but conveys significant operative mortality. Most of the patients die before they reach the operating room. We present a case of percutaneous left ventricular free wall rupture closure complicating acute inferior MI to bridge the time until the patient can be transferred to the surgical department and subjected to surgery.
Insights
Left ventricular free wall rupture, a rare but deadly complication of acute myocardial infarction, can be treated with percutaneous closure. This technique provides a crucial bridge to surgical repair, improving patient outcomes.
Area of Science:
- Cardiology
- Cardiac Surgery
- Interventional Cardiology
Background:
- Left ventricular free wall rupture (LVFWR) is a rare, fatal complication of acute myocardial infarction (MI), typically occurring within the first week.
- Emergency surgical repair is the standard treatment but is associated with high operative mortality, with many patients succumbing before reaching the operating room.
Observation:
- This case report details a patient experiencing LVFWR following an acute inferior MI.
- The patient underwent successful percutaneous closure of the left ventricular free wall rupture.
Findings:
- Percutaneous closure of LVFWR served as a successful bridge therapy, stabilizing the patient for subsequent surgical intervention.
- This minimally invasive approach offers a potential alternative to immediate high-risk surgery.
Implications:
- Percutaneous LVFWR closure may improve survival rates for patients with this catastrophic complication of MI.
- This technique highlights the evolving role of interventional cardiology in managing acute cardiac emergencies.
