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

• Published in: Journal of cardiothoracic surgery Vol. 9; no. 1; p. 136
• Main Authors: Bergman, Remco, Jainandunsing, Jayant S, Woltersom, Bozena D, den Hamer, Inez J, Natour, Ehsan
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 02.09.2014; BioMed Central
• Subjects: Aged; Case Report; Collagen - therapeutic use; Feasibility Studies; Heart Rupture - surgery; Heart Rupture, Post-Infarction - surgery; Heart Ventricles - surgery; Hemostasis, Surgical - methods; Hemostatics - therapeutic use; Humans; Male; Surgical Sponges; Sutures
• ISSN: 1749-8090; 1749-8090
• DOI: 10.1186/s13019-014-0136-2

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.