title: New surgical technique of left ventricular free wall rupture: double patch sealing method.
abstract: We experienced two cases of left ventricular free wall rupture (LVFWR) following acute myocardial infarction (AMI). Case 1, with the blowout type of LVFWR was initially closed by direct suture, followed by hemostasis using a double patch sealing method (DPS) by which the tear was doubly sealed with large and small bovine pericardium patches to which GRF glue was applied. Case 2 with the oozing type of LVFWR was treated only using DPS. Complete hemostasis was achieved in both cases, and aneurysmal dilatation or constrictive heart failure were not detected by postoperative left ventriculography. Therefore, DPS may be useful for treating LVFWR following AMI.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Kitasato University School of Medicine, Kanagawa, Japan.
authors.forename: Hideki
authors.initials: H
authors.lastname: Amano
authors.forename: Kuniyoshi
authors.initials: K
authors.lastname: Ohara
authors.forename: Masaki
authors.initials: M
authors.lastname: Nie
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Miyoshi
authors.forename: Hirokuni
authors.initials: H
authors.lastname: Yoshimura
mesh_terms: D000368:Aged; D006348:Cardiac Surgical Procedures; D004338:Drug Combinations; D017809:Fatal Outcome; D005260:Female; D005557:Formaldehyde / Q000627:therapeutic use; D005780:Gelatin / Q000627:therapeutic use; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D008297:Male; D019736:Prostheses and Implants; D012118:Resorcinols / Q000627:therapeutic use; D013536:Suture Techniques; D014014:Tissue Adhesives / Q000627:therapeutic use; D018658:Ventricular Septal Rupture / Q000601:surgery*
chemical_list: D004338:Drug Combinations; D012118:Resorcinols; D014014:Tissue Adhesives; C027813:gelatin-resorcinol-formaldehyde tissue adhesive; D005557:Formaldehyde; D005780:Gelatin