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Short-term and mid-term follow-up of sutureless surgery for postinfarction subacute free wall rupture

^a Cardiac Surgery Department, Hospital Clinico San Carlos, Martin Lagos St, 28040, Madrid, Spain
^b Cardiology Department, Hospital Clinico San Carlos, Martin Lagos St, 28040, Madrid, Spain

*Corresponding author. Secretaria del Servicio de Cirugía Cardiaca, Hospital Clínico San Carlos, Calle Martín Lagos, s/n, 28040, Madrid. Tel.: +34 615238104/+34 913303691.

E-mail address: manuelcarneroalcazar{at}hotmail.es (M. Carnero-Alcázar).

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.

Key Words: Free wall rupture