Left Thoracotomy as an Alternative to Redo Sternotomy in a Case of Left Ventricle Rupture.

Autor: Butt S; Cardiac Surgery, Cleveland Clinic Abu Dhabi, Abu Dhabi, ARE., Pandey G; Cardiac Anesthesia, Cleveland Clinic Abu Dhabi, Abu Dhabi, ARE., Kumar A; Cardiac Anesthesia, Cleveland Clinic Abu Dhabi, Abu Dhabi, ARE., Badiwala M; Cardiac Surgery, Cleveland Clinic Abu Dhabi, Abu Dhabi, ARE., Darr U; Cardiac Surgery, Cleveland Clinic Abu Dhabi, Abu Dhabi, ARE.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2024 Oct 19; Vol. 16 (10), pp. e71833. Date of Electronic Publication: 2024 Oct 19 (Print Publication: 2024).
DOI: 10.7759/cureus.71833
Abstrakt: Left ventricular free wall rupture (LVFWR) is a rare but serious complication following ST-elevation myocardial infarction (MI), occurring in a small fraction of patients. Left Ventricular Free Wall Rupture presents as three types: There are three types of Left Ventricular Free Wall Rupture: Type 1 with an abrupt tear and high mortality, Type 2 with a slower tear, and Type 3 with aneurysm perforation. Despite reperfusion therapies, LVFWR remains concerning due to increased mortality described from 75% to 90%. We present a case of LVFWR in a 64-year-old with a history of previous aortic valve surgery and heart failure, managed through left thoracotomy surgical repair. Our approach led to successful repair, emphasizing collaborative intraoperative strategies for improved outcomes in LVFWR cases.
Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.
(Copyright © 2024, Butt et al.)
Databáze: MEDLINE