Work

Left Thoracotomy as an Alternative to Redo Sternotomy in a Case of Left Ventricle Rupture

Year: 2024

Type: article

Abstract: Left ventricular free wall rupture (LVFWR) is a rare but serious complication following ST-elevation myocardial infarction (MI), occurring in a small fraction of patients. Left Ventricular Free Wall Rupture presents as three types: There are three types of Left Ventricular Free Wall Rupture: Type 1 with an abrupt tear and high mortality, Type 2 with a slower tear, and Type 3 with aneurysm perforation. Despite reperfusion therapies, LVFWR remains concerning due to increased mortality described from 75% to 90%. We present a case of LVFWR in a 64-year-old with a history of previous aortic valve surgery and heart failure, managed through left thoracotomy surgical repair. Our approach led to successful repair, emphasizing collaborative intraoperative strategies for improved outcomes in LVFWR cases.

Source: Cureus

DOI: 10.7759/cureus.71833

Authors: Salman Butt, Gaurav Pandey, Arun Kumar, Mitesh Badiwala, Umer Darr

Institution: Cleveland Clinic Abu Dhabi

Language: English

Topic: Cardiac Structural Anomalies and Repair

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4403567397