Successful Suture-Free Repair of Left Ventricular Rupture Using the EVARREST Patch

Figures

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  Fig. 1. A) A preoperative computed tomography scan demonstrates hemopericardium (thin arrow) and left ventricular pseudoaneurysm with impending rupture (thick arrow); (B) coronary angiography demonstrates subtotal occlusion of the left anterior descending artery distal to the second diagonal branch (thin arrow) and complete occlusion of the distal circumflex artery (thick arrow); (C) coronary angiography demonstrates occlusion of the posterior descending artery (arrow); and (D) an intraoperative photograph demonstrates left ventricular rupture (arrow).

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  Fig. 2. A postoperative computed tomography scan demonstrates healing of the left ventricular free wall after suture-free repair (arrow).

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  Fig. 3. Follow-up transthoracic echocardiographic images of left ventricular free wall (arrow) in (A) diastole and (B) systole, with normal wall motion and ejection fraction.