Sutureless patch repair with a novel adhesive for postinfarction ventricular septal rupture

Ann Thorac Surg. 2021 Mar 29:S0003-4975(21)00577-4. doi: 10.1016/j.athoracsur.2021.03.051. Online ahead of print.ABSTRACTVentricular septal rupture after acute myocardial infarction is a fatal complication with a very high in-hospital mortality. Herein, we describe a new repair technique using a 1st patch for exclusion of the infarcted myocardium and a 2nd sutureless patch for rupture site closure with a novel tissue adhesive (Hydrofit®). Follow-up of over 2 years revealed a good clinical course and no residual interventricular shunt on echocardiography. This modified infarct exclusion technique with a 2nd sutureless patch has a benefit of avoiding stitches to the fragile infarcted myocardium and might be effective in preventing interventricular shunt recurrence after ventricular septal rupture.PMID:33794161 | DOI:10.1016/j.athoracsur.2021.03.051
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Source Type: research