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Ann Thorac Surg 2005;79:2143-2145
© 2005 The Society of Thoracic Surgeons

Case report

Sutureless Repair With TachoComb Sheets for Oozing Type Postinfarction Cardiac Rupture

Akihito Muto, MD*, Toshiya Nishibe, MD, Yuka Kondo, MD, Masato Sato, MD, Mituru Yamashita, MD, Motomi Ando, MD

Department of Surgery, Division of Cardiovascular and Thoracic Surgery, Fujita Health University, Toyoake, Japan

Accepted for publication December 2, 2003.

* Address reprint requests to Dr Muto, Department of Surgery, Division of Cardiovascular and Thoracic Surgery, Fujita Health University, 1-98, Dengakugakubo, Kutukake, Toyoake, Aichi 470-1192, Japan (E-mail: akiyann6108{at}yahoo.co.jp).

Left ventricular free-wall rupture is a well recognized complication of myocardial infarction and a frequent cause of death. The appropriate surgical management varies significantly depending on the condition of the tear and the presence of concomitant lesions. We present a case of oozing type postinfarction cardiac rupture that was treated successfully by a sutureless patch technique using a fibrin tissue-adhesive collagen fleece (TachoComb [Torii Pharmaceutical, Tokyo, Japan]). This represents a quick, effective, and safe option for dealing with oozing type myocardial rupture due to myocardial infarction.




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