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Review
. 2022 May;11(3):299-303.
doi: 10.21037/acs-2022-ami-26.

Sutureless repair of subacute left ventricular free wall rupture

Maged Makhoul  1 , Benjamin Medalion  1 , Roberto Lorusso  2   3 , Gil Bolotin  1
Affiliations
Review

Sutureless repair of subacute left ventricular free wall rupture

Maged Makhoul et al. Ann Cardiothorac Surg. 2022 May.

Abstract

Left ventricular free wall rupture (LVFWR) is one of the most lethal heart conditions where mortality rates reach 40% intraoperatively and 80% in hospital. A few days after the acute event, the rupture becomes subacute, and surgery is indicated to repair the frail myocardium. Despite the lack of strong evidence to support the efficacy of sutureless repair of subacute LVFWR in the literature, this technique has recently been gaining popularity with acceptable success rates. In this article, we present two techniques to repair the subacute LVFWR without using sutures: the direct glued-hemostatic patch technique and the glued pericardial patch technique. In both techniques, the healthy myocardium surrounding the infarcted zone is recruited, together with hemostatic materials, to seal the rupture. Moreover, we describe the clinical presentation of the acute and subacute LVFWR, peri-operative management, together with intra-operative tips and the advantages and disadvantages of each material used in these operations.

Keywords: Left ventricular free wall rupture (LVFWR); free wall rupture; myocardial infarction; sutureless repair.

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

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Sutureless repair of subacute left ventricular free wall rupture.
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References

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