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Midterm clinical and echocardiographic results with patch glue repair of left ventricular free wall rupture

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dc.contributor.authorCánovas López, Sergio
dc.contributor.authorLim, Eric
dc.contributor.authorDalmau, María J.
dc.contributor.authorBueno, María
dc.contributor.authorBuendía, Jose
dc.contributor.authorHornero, Fernando
dc.contributor.authorGil, Oscar
dc.contributor.authorGarcía, Rafael
dc.contributor.authorPaya, Rafael
dc.contributor.authorPérez, Jose
dc.contributor.authorEchanove, Ildefonso
dc.contributor.authorMontero, Jose
dc.contributor.departmentCirugía, Pediatría y Obstetricia y Ginecología
dc.date.accessioned2025-02-26T07:48:03Z
dc.date.available2025-02-26T07:48:03Z
dc.date.issued2003-09-09
dc.description© 2003 American Heart Association, Inc. This document is the Published Manuscript, version of a Published Work that appeared in final form in Circulation. To access the final edited and published work see https://doi.org/10.1161/01.cir.0000089042.80722.7a
dc.description.abstractBackground— Left ventricular free wall rupture (LVFWR) is a dramatic complication after myocardial infarction. We present our mid-term clinical and echocardiographic results of LVFWR with an epicardial patch without cardiopulmonary bypass. Methods— From February 1993 to May 2001, 17 patients underwent surgery for LVFWR. The mean age±SD of 12 males and 5 females was 68±10 years. All patients presented for emergency surgery with cardiac tamponade confirmed on echocardiography. After opening the chest and identification of the site of rupture, a Goretex patch was fashioned and applied with enbucrilate surgical glue. Results— Effective control of bleeding was achieved in all cases. There were no on-table deaths. The operative (30 day) mortality was 23.5% (4/17). One death occurred because of patch failure, two because of cardiogenic shock, and one from pneumonia. On follow-up at a median of 2.2 years (interquartile range, 1.1 to 4.3 years), two further deaths occurred, one from myocardial infarction and another of undetermined etiology. Echocardiography did not reveal any evidence of restriction to left ventricular free wall motion. Conclusions— Patch glue repair is expedient, simple and effective; with no adverse effects on mid-term ventricular dynamics. In view of superior published results to infarctectomy and repair with extra corporeal circulation, it should be considered to be the initial procedure of choice for the surgical repair of LVFWR.es
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dc.format.extent4es
dc.identifier.citationCirculation, 2003, Vol. 108, N. 10, Suppl. 1, pp. II-237-II-240
dc.identifier.doihttps://doi.org/10.1161/01.cir.0000089042.80722.7a
dc.identifier.issnPrint: 0009-7322
dc.identifier.issnElectronic: 1524-4539
dc.identifier.urihttp://hdl.handle.net/10201/151104
dc.languageenges
dc.publisherLippincott, Williams & Wilkins
dc.relationSin financiación externa a la Universidades
dc.relation.publisherversionhttps://www.ahajournals.org/doi/10.1161/01.cir.0000089042.80722.7a
dc.rights.accessRightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectSurgeryes
dc.subjectMyocardial infarction
dc.subjectComplications
dc.subjectCoronary disease
dc.subject.otherEchocardiography
dc.titleMidterm clinical and echocardiographic results with patch glue repair of left ventricular free wall rupturees
dc.typeinfo:eu-repo/semantics/articlees
dspace.entity.typePublicationes
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