Off-pump sutureless repair for ischemic left ventricular free wall rupture: a systematic review

Abstract

BackgroundClinical results of ischemic left ventricular free-wall rupture show high mortality rates.MethodsWe reviewed studies published after 1993 on PubMed.ResultsA 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.ConclusionsThe 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.

Surgical Outcome of Postinfarction Left Ventricular Free Wall Rupture

“… 3 , 5 – 8 It is reported as occurring more often after the first transmural MI. 1 , 9 , 10 The average time from symptom onset to hospital admission in this study population was 24 hours, with a maximum onset of 94 hours. 9 Although the time from AMI to LVFWR diagnosis is usually several days, there is no clear correlation between mortality and the length of this delay.…”

“…Cardiac rupture after acute myocardial infarction (AMI), which includes ventricular free wall rupture (VFWR), septal rupture, and papillary muscle rupture, can result in lethal complications. 1 These life-threatening complications mainly occur within 7 days after MI. Left VFWR (LVFWR) is a rare but catastrophic mechanical complication that can occur after AMI and is associated with high mortality rates.…”

Off-pump external pericardial patch repair for post-infarct left ventricular free wall rupture: a case series

“…A systematic review of off-pump sutureless repair of LV free wall rupture concluded that off-pump sutureless patch repair of the defect can be performed with fibrin glue sheets or patches and collagen-based sponge adjuncts which are used to conform to the native myocardial tissue and provide haemostasis [ 20 ]. Furthermore, the late complication of pseudo aneurysm formation must be considered in patients for whom sutureless patch repair is performed [ 20 ]. The use of fibrin sheets or pericardial patches on the rupture site under stable haemodynamic conditions can be done on a beating heart on or off pump.…”

Conservative therapy for external myocardial rupture in a patient with anterior myocardial infarction: a case report

“…Лечение разрыва миокарда заключается в экстренном хирургическом вмешательстве. В данное время существует множество подходов к хирургическому лечению разрыва миокарда [5]. Однако иногда по разным причинам не удается провести хирургическое лечение.…”