Language
English
Publication Date
1-31-2024
Journal
The Texas Heart Institute Journal
DOI
10.14503/THIJ-23-8213
PMID
38291908
PMCID
PMC11075482
PubMedCentral® Posted Date
1-31-2024
PubMedCentral® Full Text Version
Post-Print
Abstract
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.
Keywords
Humans, Infant, Heart Rupture, Post-Infarction, Myocardial Infarction, Heart Rupture, Heart Ventricles, Treatment Outcome, Polytetrafluoroethylene
Published Open-Access
yes
Recommended Citation
Chan-Young Na, "Surgical Outcome of Postinfarction Left Ventricular Free Wall Rupture" (2024). The Texas Heart Institute Journal. 55.
https://digitalcommons.library.tmc.edu/texasheartinstituejournal/55