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Published on: May 26, 2023
Off-pump sutureless repair for ischemic left ventricular free wall rupture: a systematic review
1Division of Cardiovascular Surgery, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan. tcvmisa@jichi.ac.jp.
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 a pseudoaneurysm formation at the repair site after surgery should be considered.
Conclusions:
The sutureless technique can be a promising strategy for the treatment of ischemic rupture, but serial echocardiographic studies should be mandatory for diagnosing a left ventricular pseudoaneurysm formation thereafter.
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