P113. A new sutureless "double‐patch frame"technique for early repair of Postinfarction Ventricular Rupture without ventriculotomies
Presented During: Adult Cardiac Poster Session II
Wuhan Asia heart Hospital
Wuhan, Hubei
China - Contact Me
TAO LIANG, China
Vice president of Wuhan Asia Heart Hospital
Director of Department of Cardiac Surgery
No.753 Jinghan Avenue
Wuhan China
Postcode:430022
Tel: +86-27-65796782
Mobile:+86-13871023777
Fax: +86-27-65796713
E-mail :[email protected]
Experience
- As a pioneer of Wuhan Asia Heart Hospital, performed more than 10,000 open heart operations.
Interests
- Complex Congenital Heart Disease
- Heart Valve Disease, especially in aortic valvuloplasty
- Myocardial Revascularization
- Great Vascular Surgery
Monday, May 4, 2026: 9:00 AM - 4:00 PM
McCormick Place Lakeside Center
Room: Exhibit Hall, Poster Area
Description
Objective: Ventricular septal rupture (VSR) is a severe complication of acute myocardial infarction, and the conventional technique for repair is associated with high operative mortality. A novel sutureless "double‐patch frame" technique was used as a less invasive treatment for VSR; it does not postpone the timing of surgery, require left or right ventricular incision and suturing in the fragile ventricular wall.
Methods: Four patients underwent successful correction and recovery uneventful. total cardiopulmonary bypass was established via a median sternotomy. A "double‐patch frame" was produced with a trimmed Dacron patch and expandable spongeare just as the data from cardiac CTA and TEE. A low transverse aortotomy and right atriotomy were performed to implant the "double‐patch frame" to correct VSR without suturing. TEE was used to evaluate the residual VSP shunting, biventricular function, and the left ventricular outflow tract.
Results: All procedures were completed safely and effective. The averaged VSR left-to-right shunt before the procedure was 1.55cm (ranged from 1.2cm to 1.8cm). The CPB and aorta clamping time were 139.7min (125-155 mins) and 75min (67-89 mins), respectively. The left-to-right shunt disappeared in one patient after the procedure, and trial residual VSR left-to-right shunt in another three patients without hemodynamic disorder. Hemodynamic instability improved dramatically after the procedure. All the patients had an uneventful postoperative course and discharged successfully. During the following-up, TTE showed the jet is unchanged and all the patients have no symptoms and self-supportive at home
Conclusions: This new sutureless "double‐patch frame" technique was simple and significantly decreased the left-to-right shunt. The technique was able to control the heart failure associated with VSR without ventriculotomies during the procedure. Potential improvements in VSR treatment outcomes are expected with its clinical application.
Authors
Liang Tao (1), Laichun Song (2), Xiao Wang (3)
Institutions
(1) Wuhan Asia heart Hospital, Wuhan, Hubei, (2) Wuhan Asia Heart Hospital, Wuhan, Hubei, (3) Nanjing Drum Tower Hospital, Jiangsu
Methods: Four patients underwent successful correction and recovery uneventful. total cardiopulmonary bypass was established via a median sternotomy. A "double‐patch frame" was produced with a trimmed Dacron patch and expandable spongeare just as the data from cardiac CTA and TEE. A low transverse aortotomy and right atriotomy were performed to implant the "double‐patch frame" to correct VSR without suturing. TEE was used to evaluate the residual VSP shunting, biventricular function, and the left ventricular outflow tract.
Results: All procedures were completed safely and effective. The averaged VSR left-to-right shunt before the procedure was 1.55cm (ranged from 1.2cm to 1.8cm). The CPB and aorta clamping time were 139.7min (125-155 mins) and 75min (67-89 mins), respectively. The left-to-right shunt disappeared in one patient after the procedure, and trial residual VSR left-to-right shunt in another three patients without hemodynamic disorder. Hemodynamic instability improved dramatically after the procedure. All the patients had an uneventful postoperative course and discharged successfully. During the following-up, TTE showed the jet is unchanged and all the patients have no symptoms and self-supportive at home
Conclusions: This new sutureless "double‐patch frame" technique was simple and significantly decreased the left-to-right shunt. The technique was able to control the heart failure associated with VSR without ventriculotomies during the procedure. Potential improvements in VSR treatment outcomes are expected with its clinical application.
Authors
Liang Tao (1), Laichun Song (2), Xiao Wang (3)
Institutions
(1) Wuhan Asia heart Hospital, Wuhan, Hubei, (2) Wuhan Asia Heart Hospital, Wuhan, Hubei, (3) Nanjing Drum Tower Hospital, Jiangsu
Presentation Duration
There is no formal presentation for posters. Your poster will be on display on your assigned day from 9:00AM - 4:00PM
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ADULT CARDIAC
Coronary Artery Disease