Case Report (n=1)
No
Direct surgical closure using Teflon felt strips, a fibrin sheet, and a bovine pericardial patch with GRF glue can be a viable life-saving strategy for postinfarction blow-out type left ventricular free wall rupture.
Left ventricular free wall rupture is a catastrophic complication following an acute myocardial infarction. The optimal therapeutic strategy is poorly defined. Herein we report a surgical treatment for a postinfarction blow-out type rupture of the left ventricle free wall in a 78-year-old male patient. Direct closure with Teflon felt strips and covering with a fibrin sheet and bovine pericardial patch, to which gelatin-resorcinol-formaldehyde glue was applied, were performed for the ruptured lesion. The patient survived the surgical intervention, although he had hypoxic ischemic encephalopathy probably due to cardiopulmonary arrest occurring at the time of transfer to our hospital.
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Yamashita et al. (2015) conducted a case report in Postinfarction left ventricular free wall rupture (blow-out type) (n=1). Surgical repair with direct closure using Teflon felt strips, fibrin sheet, bovine pericardial patch, and GRF glue was evaluated on Survival.
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