Chinese-hat patch glue repair of incomplete apical ventricular rupture.
Left ventricular free wall rupture is a dramatic complication of myocardial infarction. Sub-acute rupture may be compatible with life for several days or even longer. We present a simple and effective technique of construction of a conical apical patch, Chinese-hat, which was applied successfully to the infracted left ventricular (LV) apex with surgical glue, without using cardiopulmonary bypass. The application of this technique permitted the consequent off-pump double coronary artery bypass of a patient, who was at high risk of complications due to extracorporeal circulation.
Department of Cardiac Surgery, Athens Medical Center, Athens, Greece.
Matthew
M
Panagiotou
Efstratios N
EN
Koletsis
Konstantinos
K
Markakis
Nikolaos
N
Mourtzis