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Case Reports
. 2023 Nov;39(6):632-635.
doi: 10.1007/s12055-023-01572-x. Epub 2023 Aug 15.

Sutureless repair of left ventricular free wall rupture following acute myocardial infarction with cardiogenic shock

Shivaprasad Babu Mukkannavar  1 , Tonse Jayarama Pai  1 , Nukavarapu Raja Ramesh  2 , Tirumala Kanduri Radhika  3 , Krishna Shriram Dhanasekaran  4
Affiliations
Case Reports

Sutureless repair of left ventricular free wall rupture following acute myocardial infarction with cardiogenic shock

Shivaprasad Babu Mukkannavar et al. Indian J Thorac Cardiovasc Surg. 2023 Nov.

Abstract

We report a case of blow-out-type left ventricular free wall rupture (LVFWR) after acute myocardial infarction, who presented with unstable hemodynamic condition in New York Heart Association (NYHA) functional class IV. Immediately, we performed a successful LVFWR repair with sutureless technique using a glue and expanded polytetrafluoroethylene patch on cardio-pulmonary bypass support. Postoperative period and recovery was uneventful. Over a period of 2-year follow-up, the patient is in NYHA class I and cardiac magnetic resonance imaging showed adequate left ventricular (LV) function and no evidence of LV aneurysm.

Keywords: Acute myocardial infarction; Cardiopulmonary bypass; Left ventricular free wall rupture; Sutureless repair.

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Conflict of interest statement

Conflict of interestThe authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Echocardiographic image showing pericardial collection and finger-pointing the LVFWR defect
Fig. 2
Fig. 2
Intraoperative images showing hemopericardium (A), rupture site (B) and sutureless repair with ePTFE patch (C). (ePTFE—expanded polytetrafluoroethylene)
See this image and copyright information in PMC

References

    1. Figueras J, Alcalde O, Barrabés JA, Serra V, Alguersuari J, Cortadellas J, et al. Changes in hospital mortality rates in 425 patients with acute ST-elevation myocardial infarction and cardiac rupture over a 30-year period. Circulation. 2008;118:2783–2789. doi: 10.1161/CIRCULATIONAHA.108.776690. - DOI - PubMed
    1. Honda S, Asaumi Y, Yamane T, Nagai T, Miyagi T, Noguchi T, et al. Trends in the clinical and pathological characteristics of cardiac rupture in patients with acute myocardial infarction over 35 years. J Am Heart Assoc. 2014;3:e000984. doi: 10.1161/JAHA.114.000984. - DOI - PMC - PubMed
    1. Formica F, Mariani S, Singh G, D'Alessandro S, Messina LA, Jones N, et al. Postinfarction left ventricular free wall rupture: a 17-year single-centre experience. Eur J Cardiothorac Surg. 2018;53:150–156. doi: 10.1093/ejcts/ezx271. - DOI - PubMed
    1. Okamura H. Sutureless repair techniques for post-infarction left ventricular free wall rupture. Ann Cardiothorac Surg. 2022;11:268–272. doi: 10.21037/acs-2021-ami-165. - DOI - PMC - PubMed
    1. Matteucci M, Fina D, Jiritano F, Meani P, Blankesteijn WM, Raffa GM, et al. Treatment strategies for post-infarction left ventricular free-wall rupture. Eur Heart J Acute Cardiovasc Care. 2019;8:379–387. doi: 10.1177/2048872619840876. - DOI - PMC - PubMed

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