BACKGROUND: Left ventricular free @entity397 (LVFWR) is a dramatic complication after @entity583 . We present our mid-term clinical and echocardiographic results of LVFWR with an epicardial patch without cardiopulmonary bypass. METHODS: From February 1993 to May 2001, 17 @entity1 underwent surgery for LVFWR. The mean age+/-SD of 12 males and 5 females was 68+/-10 years. All @entity1 presented for emergency surgery with cardiac tamponade confirmed on echocardiography. After opening the chest and identification of the site of @entity397 , a Goretex patch was fashioned and applied with enbucrilate surgical glue. RESULTS: Effective control of @entity548 was achieved in all cases. There were no on-table @entity204 . The operative (30 day) mortality was 23.5% (4/17). One @entity204 occurred because of patch failure, two because of @entity1455 , and one from @entity55 . On follow-up at a median of 2.2 years (interquartile range, 1.1 to 4.3 years), two further @entity204 occurred, one from @entity583 and another of undetermined etiology. Echocardiography did not reveal any evidence of restriction to left ventricular free wall motion. CONCLUSIONS: Patch glue repair is expedient, simple and effective; with no adverse effects on mid-term ventricular dynamics. In view of superior published results to infarctectomy and repair with extra corporeal circulation, it should be considered to be the initial procedure of choice for the surgical repair of LVFWR.

Midterm clinical and echocardiographic results with patch glue repair of left ventricular free XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1455 :: ('MESH:D012770', 'Disease') :: ['cardiogenic shock'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity55 :: ('MESH:D011014', 'Disease') :: ['pneumonia'] @entity397 :: ('MESH:D012421', 'Disease') :: ['wall rupture', 'rupture'] @entity583 :: ('MESH:D009203', 'Disease') :: ['myocardial infarction'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death', 'deaths']
@entity397 :: (MESH:D012421,Disease) :: ['wall rupture']
