Document Detail


Short-term and mid-term follow-up of sutureless surgery for postinfarction subacute free wall rupture.
MedLine Citation:
PMID:  19324919     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report our short-term and mid-term results with sutureless repair of postinfarction subacute left ventricular free wall rupture (LVFWR). For this purpose, we evaluated the short-term and mid-term postoperative results assessed by clinical examination and echocardiography of all patients who underwent surgery for subacute LVFWR between January 2004 and January 2009. Twenty-one patients were operated. Direct suture repair of LVFWR was carried out in only one patient. In all other cases we used a pericardial patch with biological glue. Early mortality was 19% (n=4). The median duration of follow-up was 17.3 months (interquartile range, 5-38.7), with a 13-month survival of 76%. Follow-up echocardiography showed no constriction associated with the rupture zone in any patient. According to our early experience, sutureless LVFWR repair is safe, effective and reproducible, and offers acceptable morbidity and mortality during follow-up.
Authors:
Manuel Carnero-Alcázar; Ali Alswies; Lepoldo Pérez-Isla; Jacobo A Silva-Guisasola; Juan J González-Ferrer; Fernando Reguillo-Lacruz; José Luis Zamorano; Enrique Rodríguez-Hernández
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Publication Detail:
Type:  Journal Article     Date:  2009-03-26
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  8     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-05-15     Completed Date:  2009-07-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  619-23     Citation Subset:  IM    
Affiliation:
Cardiac Surgery Department, Hospital Clinico San Carlos, Madrid, Spain. manuelcarneroalcazar@hotmail.es
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Animals
Cardiac Surgical Procedures* / adverse effects,  mortality
Cattle
Cyanoacrylates / therapeutic use*
Female
Heart Rupture, Post-Infarction / mortality,  surgery*,  ultrasonography
Humans
Male
Pericardium / transplantation*
Retrospective Studies
Suture Techniques
Time Factors
Tissue Adhesives / therapeutic use*
Transplantation, Heterologous
Treatment Outcome
Chemical
Reg. No./Substance:
0/Cyanoacrylates; 0/Tissue Adhesives; 6701-17-3/octyl 2-cyanoacrylate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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