Sutureless repair with TachoComb sheets for oozing type postinfarction cardiac rupture.
Left ventricular free-wall rupture is a well recognized complication of myocardial infarction and a frequent cause of death. The appropriate surgical management varies significantly depending on the condition of the tear and the presence of concomitant lesions. We present a case of oozing type postinfarction cardiac rupture that was treated successfully by a sutureless patch technique using a fibrin tissue-adhesive collagen fleece (TachoComb [Torii Pharmaceutical, Tokyo, Japan]). This represents a quick, effective, and safe option for dealing with oozing type myocardial rupture due to myocardial infarction.
Muto
Akihito
A
Department of Surgery, Division of Cardiovascular and Thoracic Surgery, Fujita Health University, Toyoake, Japan. akiyann6108@yahoo.co.jp
Nishibe
Toshiya
T
Kondo
Yuka
Y
Sato
Masato
M
Yamashita
Mituru
M
Ando
Motomi
M
D000368:Aged; D007611:Aprotinin / Q000627:therapeutic use*; D004338:Drug Combinations; D005340:Fibrinogen / Q000627:therapeutic use*; D006342:Heart Rupture, Post-Infarction / Q000601:surgery*; D006352:Heart Ventricles / Q000473:pathology; D006470:Hemorrhage / Q000209:etiology / Q000601:surgery; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D008297:Male; D013917:Thrombin / Q000627:therapeutic use*; D016896:Treatment Outcome
D004338:Drug Combinations; C093991:tachocomb; D005340:Fibrinogen; D007611:Aprotinin; D013917:Thrombin