Sudden blowout rupture of the myocardium after infarction: Urgent management

Surgical Treatment of Postinfarction Left Ventricular Free Wall Rupture

“…Surgical results of LVFWR repair have varied over (the) time with a hospital mortality reported to range from 10% to 40% 4‐8 . Recently, numerous reports about more conservative approaches such as epicardial patch with glue without CPB have been published with more successful outcomes 13,14 .…”

“…Although acute rupture is usually fatal, some patients with a small ventricular tear, which may be temporarily sealed by clot or fibrinous pericardial adhesions, may progress to a subacute form allowing late survival. Surgical treatment is mandatory to salvage these patients in spite of a significant operative mortality which is reported to be as high as 40% 4,5 . In order to improve the surgical outcome for such patients, several different surgical techniques have been proposed.…”

“…In order to improve the surgical outcome for such patients, several different surgical techniques have been proposed. Initially, direct closure of the defect or infartectomy and prosthetic patch repair to preserve the geometry of the left ventricle has been the standard approach to deal with LVFWR 5‐8 . More recently, Padro and colleagues have favored a sutureless technique, using a glued pericardial patch to close the defect; this technique has gained popularity since the use of cardiopulmonary bypass (CPB) is not required 9 .…”

“…to be as high as 40%. 4,5 In order to improve the surgical outcome for such patients, several different surgical techniques have been proposed. Initially, direct closure of the defect or infartectomy and prosthetic patch repair to preserve the geometry of the left ventricle has been the standard approach to deal with LVFWR.…”

Postinfarction Left Ventricular Free Wall Rupture: Original Management and Surgical Technique

“…6, No. 3,1991 POST1 N FARCTION CARDIAC RUPTURE room with the suspected diagnosis of cardiac rupture. By transesophageal echocardiography the diagnosis of left ventricular free wall rupture was confirmed ( Fig.…”