Surgical Outcome of Postinfarction Left Ventricular Free Wall Rupture.
| Autor: | Na CY; Department of Thoracic and Cardiovascular Surgery, Hallym University Dongtan Sacred Heart Hospital, Gyeonggi-do, South Korea. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Texas Heart Institute journal [Tex Heart Inst J] 2024 Jan 31; Vol. 51 (1). |
| DOI: | 10.14503/THIJ-23-8213 |
| Abstrakt: | Background: Left ventricular free wall rupture (LVFWR) is a rare and fatal complication after acute myocardial infarction. Early recognition and aggressive treatment are recommended. Methods: Between August 1999 and February 2023, 11 patients aged between 64 and 79 years developed LVFWR after acute myocardial infarction (mean interval, 3.5 days). Three patients had active bleeding (blowout-type LVFWR), and the other 8 patients experienced the oozing or sealed state. Eight patients were treated using a sutureless technique with Teflon felt and glue, 2 patients were treated using the primary suture closure technique, and 1 was treated using both the primary suture and the sutureless technique with Teflon felt and glue. Results: One patient died in the operating room as a result of bleeding. Cardiovascular stability and hemostasis were achieved in the other 10 patients. There were 3 early deaths (all 3 cases as a result of area bleeding; 1 was treated with primary suture, 2 with sutureless glue). Three patients received percutaneous coronary intervention before discharge. All 8 remaining patients survived and were discharged. Three patients were lost to follow-up. The follow-up period ranged from 2 to 97 months, with 4 patients exhibiting New York Heart Association class I symptoms and 1 exhibiting New York Heart Association class II symptoms. Conclusion: Optimal surgical treatment for postinfarction LVFWR remains controversial. The sutureless technique may be a promising strategy for treating postinfarction LVFWR. (© 2024 The Authors. Published by The Texas Heart Institute®.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|