Sutureless management of left ventricle wall rupture; a series of three cases

Journal of Cardiothoracic Surgery

Ehsan Natour²  Inez J den Hamer²  Bozena D Woltersom¹  Jayant S Jainandunsing¹  Remco Bergman¹ 

[1] Department of Anesthesia and Pain Medicine, University Medical Center Groningen, University of Groningen, Hanzeplein 1, Groningen, 9700 RB, The Netherlands;Department of Cardiothoracic Surgery, University Medical Center Groningen, University of Groningen, Hanzeplein 1, Groningen, 9700 RB, The Netherlands

关键词: Collagen sponges;    Sutureless;    Left ventricle wall rupture;   

Others  :  1224608
DOI  :  10.1186/s13019-014-0136-2

 received in 2014-04-13, accepted in 2014-07-17,  发布年份 2014

【 摘 要 】

Treatment of left ventricle wall rupture is very challenging, ruptured myocardial tissue is usually of poor quality and has a high risk of total rupture when being sutured. Furthermore, rapid decision-making is needed under stressful conditions. We present a series of three cases demonstrating the feasibility of using only hemostatic collagen sponges for the management of left ventricle wall rupture. All patients we Caucasian males, two patients were 65 years and one patient was 67 years old at the time of surgery. This report contains the first video images of solely use of hemostatic collagen sponges to seal a left ventricle wall rupture. Implication of our case series could be that the indication to use hemostatic collagen sponges, could be broadened towards other surgical specialties where suturing ruptured tissue can be difficult.

【 授权许可】

   
2014 Bergman et al.; licensee BioMed Central Ltd.

【 图 表 】

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