Key result
Sutureless autologous pericardial patch augmentation effectively manages impending left ventricular free wall rupture.
Why the study?
The risk associated with impending rupture of the left ventricular free wall after acute myocardial infarction has not been quantified and few cases have been reported.
Case Report (n=1)
Sutureless pericardial patch augmentation may be a viable operative management strategy for impending left ventricular free wall rupture.
Simple autologous pericardial repair succeeded in one impending LV rupture case; leaves open optimal timing and technique for this rare entity.
Left ventricular rupture may occur as a complication of acute myocardial infarction and is associated with significant morbidity and mortality. The risk associated with impending rupture of the left ventricular free wall has not been quantified but it is likely a predisposing factor to complete rupture. Few cases of impending rupture of the left ventricular free wall have been discussed in the literature; we present one such case and describe simple operative management with an autologous pericardial patch and subsequent outcome.
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Galvin et al. (2009) conducted a case report in Impending left ventricular free wall rupture (n=1). Sutureless autologous pericardial patch augmentation was evaluated. Sutureless autologous pericardial patch augmentation was described as a simple operative management strategy for a case of impending left ventricular free wall rupture.
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