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Successful Suture-Free Repair of Left Ventricular Rupture Using the EVARREST Patch.

Paighton C Miller¹, Linda J Schulte², Kunal Kotkar³

¹Washington University School of Medicine in St Louis, St Louis, Missouri.

Texas Heart Institute Journal

|March 7, 2024

Summary

Left ventricular free wall rupture, a deadly heart attack complication, was successfully treated. A novel suture-free technique using EVARREST Fibrin Sealant Patch provided a life-saving repair.

Keywords:

Myocardial infarction fibrin tissue adhesive heart rupture sutureless surgical procedures

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Area of Science:

Cardiovascular Medicine
Cardiac Surgery
Regenerative Medicine

Background:

Left ventricular free wall rupture (LVFWR) is a critical and often fatal complication following myocardial infarction (MI).
Current surgical repair strategies for LVFWR are highly individualized and associated with significant morbidity and mortality.
Spontaneous coronary artery dissection (SCAD) is an uncommon cause of MI, particularly in women.

Observation:

A patient with Turner syndrome presented with acute myocardial infarction.
The myocardial infarction was complicated by spontaneous coronary artery dissection leading to left ventricular free wall rupture.
The patient's condition necessitated emergent surgical intervention.

Findings:

A suture-free repair technique was successfully employed for the left ventricular free wall rupture.
The repair utilized the EVARREST Fibrin Sealant Patch during cardiopulmonary bypass.
This approach facilitated a durable and effective closure of the rupture.

Implications:

This case highlights a potential novel therapeutic approach for managing left ventricular free wall rupture.
The suture-free technique with EVARREST Fibrin Sealant Patch may offer an alternative in complex cardiac surgical scenarios.
Further investigation into this technique could expand treatment options for life-threatening cardiac conditions.