Repair of post-infarction ventricular free wall rupture with TachoSil^®

Abstract

Introduction:Left ventricular free wall rupture (LVFWR) is a frequent cause of death after acute myocardial infarction, and its repair remains a surgical challenge.Case Presentation:TachoSil® is a ready-to-use equine collagen patch which has been successfully used for hemostasis in cardiovascular surgery. However, a limited number of studies have reported its application for LVFWR repair. In this study, we describe our initial experience using TachoSil® for LVFWR repair.Conclusions:A hemodynamic study was acceptable at a 12-month follow-up, and no complication was seen.

Appropriate Surgical Repair of Ventricular Free Wall Rupture after Infarction: a Case Report

“…Ventricular free wall rupture (VFWR) is a rare but catastrophic and fatal mechanical complication of acute myocardial infarction (AMI). This clinical situation may be responsible for 14% to 26% of total early deaths in patients with AMI [1] . In some cases it can be considered as subacute clinic and not be typical of an acute rupture that may cause death fairly quickly.…”