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[Oozing type left ventricular rupture: report of three cases]
S Hirooka1, N Oshikiri, Y Kogo
1Department of Cardiovascular Surgery, Tachikawa General Hospital, Nagaoka, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|June 1, 1995
Summary
This study reports three cases of left ventricular rupture repaired using fibrin glue-oxycellulose fixation. The technique proved effective, with uneventful post-operative courses, although two patients developed left ventricular aneurysms.
Area of Science:
- Cardiovascular Surgery
- Interventional Cardiology
- Medical Device Technology
Background:
- Left ventricular rupture is a rare but serious complication following myocardial infarction or cardiac procedures.
- Oozing type rupture presents unique challenges for surgical repair.
- Traditional repair methods may have limitations in managing these specific rupture types.
Observation:
- The study details two cases of post-infarction left ventricular rupture and one case of rupture secondary to catheter perforation during left ventriculography.
- All three patients presented with an oozing type of left ventricular rupture.
- The fibrin glue-oxycellulose fixation method was employed for surgical repair in all cases.
Findings:
- The fibrin glue-oxycellulose fixation technique was successfully utilized to repair all three cases of left ventricular rupture.
- Post-operative recovery for all patients was uneventful, indicating the efficacy of the repair method.
- Two of the three patients developed persistent left ventricular aneurysms despite successful rupture repair.
Implications:
- Fibrin glue-oxycellulose fixation offers a viable and effective treatment option for oozing type left ventricular ruptures.
- This technique may reduce immediate mortality associated with left ventricular rupture.
- Long-term monitoring for left ventricular aneurysm development is warranted in patients treated with this method.