title: Left ventricular free wall rupture: off-pump sutureless patch and glue technique.
abstract: Left ventricular free wall rupture is a well-recognized complication of myocardial infarction and is a frequent cause of death. Immediate surgical repair is the treatment of choice and many different surgical approaches have been reported. We describe an off-pump sutureless technique with the use of a glutaraldehyde-treated bovine pericardial patch and biological glue (N-butyl-2-cyanoacrylate) in a 60-year-old male patient with echocardiographic evidence of cardiac tamponade and a free wall rupture site on the lateral wall. The recovery was uneventful and the patient was discharged from the hospital on the eleventh postoperative day. At 3 months, he remained well and without any symptoms.
authors.affiliation: Department of Cardio-Thoracic Surgery, University of Pisa, Italy. massimo_mariani@hotmail.com
authors.forename: Massimo A
authors.initials: MA
authors.lastname: Mariani
authors.forename: Alessandro
authors.initials: A
authors.lastname: D'Alfonso
authors.forename: Carmela
authors.initials: C
authors.lastname: Nardi
authors.forename: Jan G
authors.initials: JG
authors.lastname: Grandjean
mesh_terms: D001705:Bioprosthesis; D002305:Cardiac Tamponade / Q000150:complications; D004659:Enbucrilate / Q000627:therapeutic use*; D006342:Heart Rupture, Post-Infarction / Q000150:complications / Q000601:surgery*; D006352:Heart Ventricles / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D010496:Pericardium / Q000637:transplantation*; D014014:Tissue Adhesives / Q000627:therapeutic use*
chemical_list: D014014:Tissue Adhesives; D004659:Enbucrilate