title: Successful surgical repair of a triple cardiac rupture using modified cohesive double patch technique.
abstract: Introduction The association between both left and right ventricular free wall ruptures (FWR) and post-infarction anterior ventricular septal defect (VSD) is an exceptional situation. Case report We present the case of a patient who developed a VSD and two FWRs (of the left and right ventricle, respectively) shortly after the onset of an anterior AMI. We surgically closed this complex rupture using the cohesive double patch technique with two Teflon patches combined with an infarct exclusion technique. The left and right ventricular patches were attached cohesively to the septal wall and the infarcted area was excluded without reducing the left ventricular cavity. Conclusion Association between post-infarction ventricular septal rupture and both left and right free wall ruptures are a very rare and dangerous situation. The modified cohesive double patch technique associated the modified Cooley technique seems to be the correct surgical solution.
authors.affiliation: a Department of Cardiovascular Surgery , Prof. Dr. C.C. Iliescu Emergency Institute for Cardiovascular Diseases , Bucharest , Romania.
authors.forename: Lucian Florin
authors.initials: LF
authors.lastname: Dorobantu
authors.affiliation: a Department of Cardiovascular Surgery , Prof. Dr. C.C. Iliescu Emergency Institute for Cardiovascular Diseases , Bucharest , Romania.
authors.forename: Ovidiu
authors.initials: O
authors.lastname: Stiru
authors.affiliation: a Department of Cardiovascular Surgery , Prof. Dr. C.C. Iliescu Emergency Institute for Cardiovascular Diseases , Bucharest , Romania.
authors.forename: Vlad Anton
authors.initials: VA
authors.lastname: Iliescu
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods*; D002315:Cardiopulmonary Bypass / Q000379:methods; D017548:Echocardiography, Transesophageal / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006341:Heart Rupture / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D012720:Severity of Illness Index; D056346:Sternotomy / Q000379:methods; D013536:Suture Techniques; D016896:Treatment Outcome; D018658:Ventricular Septal Rupture / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*
keywords: Free wall rupture; myocardial infarction; septal rupture