Key result
Novel surgical reconstruction with VA-ECMO successfully treats left ventricular free wall rupture in one patient.
Case Report (n=1)
No
A novel surgical reconstruction method successfully treated a life-threatening left ventricular free wall rupture following myocardial infarction.
May support feasibility in post-MI LV rupture; leaves open need for comparative data before practice change.
Background A rupture of the free wall of the left ventricle is a rarely seen complication of myocardial infarction and represents an absolute cardiac emergency. Case Description We hereby present a case of a 64-year-old patient with a rupture of the free left ventricular wall. The patient was treated in an emergent operation with a novel reconstruction method of the left ventricular wall and was discharged 30 days after the initial operation. Conclusion Left ventricular free wall rupture is rarely described in the literature, which might be because of high mortality in underdiagnosed cases. Therefore, early imaging by echo or computed tomography (CT) is essential for detecting this dangerous condition. Once diagnosed, urgent surgery is mandatory to save the life of the patient.
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Fleißner et al. (2018) conducted a case report in Left ventricular free wall rupture (n=1). Surgical reconstruction using felt pledgets, pericardial patch, and BioGlue with postoperative VA-ECMO was evaluated on Survival to discharge. A novel surgical reconstruction method using felt pledgets, a pericardial patch, and BioGlue, combined with postoperative VA-ECMO, successfully treated a patient with a left ventricular free wall rupture.
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