Off-pump sutureless repair for ischemic left ventricular free wall rupture: a systematic review

Abstract

Abstract Background Clinical results of ischemic left ventricular free-wall rupture show high mortality rates. Methods We reviewed studies published after 1993 on PubMed. Results A sutureless technique using fibrin glue sheets or patches with/without fibrin glue might contribute to improved clinical results. However, some technique limitations remain for blowout-type ruptures, and the possibility of a pseudoaneurysm formation at the repair site after surgery should be considered. Conclusions The sutureless technique can be a promising strategy for the treatment of ischemic rupture, but serial echocardiographic studies should be mandatory for diagnosing a left ventricular pseudoaneurysm formation thereafter.

Keywords

• Ischemic left ventricular rupture
• Sutureless repair
• Left ventricular pseudoaneurysm
• TachoComb®
• TachoSil®