Double Patch Hybrid Technique for Treatment of Complex Left Ventricle Acute Free Wall Rupture

Pasquale Totaro, Cristian Monterosso, Martina Musto, Giulia Magrini, Stefano Pelenghi
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Abstract

Left ventricle free wall rupture (LVFWR) is a potentially catastrophic complication of acute myocardial infarction (AMI). Despite its incidence has been significantly reduced in the recent era, it still carries a high mortality as it is the cause of up to 15% of all death following AMI. Prompt surgical treatment of subacute (oozing type) LVFWR can prevent a more devastating rupture (blow-out type), thus improving patients survival.  Here we report our original hybrid “double patch” technique which combined sutureless and stitched repair to treat complex cases of LVFWR.
治疗复杂左心室急性游离壁破裂的双补片混合技术
左心室游离壁破裂(LVFWR)是急性心肌梗死(AMI)的潜在灾难性并发症。尽管近年来其发病率已大大降低,但其死亡率仍然很高,因为在急性心肌梗死后的所有死亡病例中,高达 15% 都死于此病。对亚急性(渗出型)左心室纤维性血栓形成进行及时的外科治疗,可以避免更具破坏性的破裂(爆破型),从而提高患者的生存率。 在此,我们报告了我们独创的混合 "双修补 "技术,该技术结合了无缝合和缝合修复技术,用于治疗复杂的左心室纤维性血管破裂病例。
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