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Sutureless repair of left ventricular free wall rupture following acute myocardial infarction with cardiogenic shock

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Abstract

We report a case of blow-out-type left ventricular free wall rupture (LVFWR) after acute myocardial infarction, who presented with unstable hemodynamic condition in New York Heart Association (NYHA) functional class IV. Immediately, we performed a successful LVFWR repair with sutureless technique using a glue and expanded polytetrafluoroethylene patch on cardio-pulmonary bypass support. Postoperative period and recovery was uneventful. Over a period of 2-year follow-up, the patient is in NYHA class I and cardiac magnetic resonance imaging showed adequate left ventricular (LV) function and no evidence of LV aneurysm.

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Authors and Affiliations

  1. Department of Cardiothoracic and Vascular Surgery, Dr. Ramesh Cardiac and Multispeciality Hospital Pvt. Ltd., Vijayawada, 520008, Andhra Pradesh, India

    Shivaprasad Babu Mukkannavar & Tonse Jayarama Pai

  2. Department of Cardiology, Dr. Ramesh Cardiac and Multispeciality Hospital Pvt. Ltd., Vijayawada, Andhra Pradesh, India, 520008

    Nukavarapu Raja Ramesh

  3. Department of Anaesthesiology, Dr. Ramesh Cardiac and Multispeciality Hospital Pvt. Ltd., Vijayawada, 520008, Andhra Pradesh, India

    Tirumala Kanduri Radhika

  4. Department of Clinical Research, Dr. Ramesh Cardiac and Multispeciality Hospital Pvt. Ltd., Vijayawada, 520008, Andhra Pradesh, India

    Krishna Shriram Dhanasekaran

Authors
  1. Shivaprasad Babu Mukkannavar
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  2. Tonse Jayarama Pai
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  3. Nukavarapu Raja Ramesh
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  4. Tirumala Kanduri Radhika
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  5. Krishna Shriram Dhanasekaran
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Contributions

• Conception: Shivaprasad Babu Mukkannavar.

• Clinical and Surgical management: Shivaprasad Babu Mukkannavar, Jayarama Pai, N. Raja Ramesh and T.K. Radhika.

• Writing the final draft: Shivaprasad Babu Mukkannavar; N. Raja Ramesh; Krishna Shriram Dhanasekaran.

• Literature search and evidence synthesis: Shivaprasad Babu Mukkannavar.

• Critical review and revision: Shivaprasad Babu Mukkannavar; T. Jayarama Pai, N. Raja Ramesh; Krishna Shriram Dhanasekaran.

• Supervision: Shivaprasad Babu Mukkannavar; T. Jayarama Pai.

• Final approval: All the authors read and approved the manuscript, the requirements for authorship contribution have been met and each author believes that the manuscript represents honest work.

Corresponding author

Correspondence to Shivaprasad Babu Mukkannavar.

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Ethical approval

The approval of the institutional review board is not required for the case report.

Informed consent

Informed consent was obtained.

Statement of human and animal rights

This case was not an experiment but actual surgical management. The privacy and confidentiality of the patient’s identity are maintained as per the Declaration of Helsinki.

Conflict of interest

The authors declare no competing interests.

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Mukkannavar, S.B., Pai, T.J., Ramesh, N.R. et al. Sutureless repair of left ventricular free wall rupture following acute myocardial infarction with cardiogenic shock. Indian J Thorac Cardiovasc Surg 39, 632–635 (2023). https://doi.org/10.1007/s12055-023-01572-x

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  • DOI: https://doi.org/10.1007/s12055-023-01572-x

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