[Repair of post-infarction left ventricular wall ruptures by biological glue and a flap from the pericardium. Results from 2 to 10 years].
The authors report their experience with a simple and efficient technique for repair of left ventricular free wall rupture complicating myocardial infarction. The technique consists, with the aid of cardiopulmonary bypass, in suturing a plaque of the patients own pericardium (6 to 8 cm in diameter) to the more normal tissue encircling the pathologic myocardium, and by injecting five ml of human fibrin glue as a cement under the pericardium to reinforce the remair and prevent leaking throughout the suture line. With a 10 year follow-up, we are able to be confident with the long term results. The five patients, at the time of operation were aged 46 to 74 years. The post-operative results and the annual echocardiographic controls have proved the technique to be sound without recurrences and without late complications such as pseudo aneurysms at the site of the repair.
Hvass
U
U
Service de chirurgie cardiovasculeire, hôpital Bichat-Claude Bernard, Paris.
Chatel
D
D
Assayag
P
P
Juliard
J M
JM
Caliani
J
J
Oroudji
M
M
Pansard
Y
Y
D000368:Aged; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D005500:Follow-Up Studies; D006341:Heart Rupture / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000401:mortality / Q000601:surgery*; D010496:Pericardium / Q000637:transplantation*; D012189:Retrospective Studies; D013536:Suture Techniques; D016896:Treatment Outcome
D015718:Fibrin Tissue Adhesive
Réparation des ruptures pariétales postinfarctus du ventricule gauche par colle biologique et plaque de péricarde. Résultats de 2 à 10 ans.