Double Patch Hybrid Technique for Treatment of Complex Left Ventricle Acute Free Wall Rupture

Left ventricle free wall rupture (LVFWR) is a potentially catastrophic complication of acute myocardial infarction (AMI). Despite its incidence has been significantly reduced in the recent era, it still carries a high mortality as it is the cause of up to 15% of all death following AMI. Prompt surgical treatment of subacute (oozing type) LVFWR can prevent a more devastating rupture (blow-out type), thus improving patients survival. Here we report our original hybrid “double patch” technique which combined sutureless and stitched repair to treat complex cases of LVFWR.