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Interact CardioVasc Thorac Surg 2006;5:197-199. doi:10.1510/icvts.2005.123851
© 2006 European Association of Cardio-Thoracic Surgery

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Proposal for bail-out procedures - Cardiac general

Chinese-hat patch glue repair of incomplete apical ventricular rupture

Matthew Panagiotoua, Efstratios N. Koletsisb,*, Konstantinos Markakisa and Nikolaos Mourtzisa

a Department of Cardiac Surgery, Athens Medical Center, Athens, Greece
b Department of Cardiothoracic Surgery, University of Patras, Patras, Greece

*Corresponding author. Address: Efstratios Koletsis 31, Chlois Str, 166 73, Voula, Athens, Greece. Tel.: +30 210 8955570; fax: +30 210 6105524.

E-mail address: ekoletsis{at}hotmail.com (E.N. Koletsis).

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.

Key Words: Myocardial infarction; Ventricle; Rupture




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