An Easy and Safe Way of Left Ventriculotomy Closure in Patients with Left Ventricle Thrombi during the Subacute Phase of Anterior Myocardial Infarction
DOI:
https://doi.org/10.1532/hsf.685Abstract
Left ventricle thrombi occurring following myocardial infarction are usually left to spontaneous resolution to avoid a left ventriculotomy in the early phase of myocardial healing. We describe a simple and safe method of ventricular closure in patients with left ventricular thrombi embolizing to the lower extremities following acute anterior myocardial infarction. Ventricles were closed by epicardially running 5/0 polypropylene sutures in continous fashion to avoid the myocardial tearing of heavier suture materials and the late adverse effects of Teflon use. In follow-up of the patients, no early and late complications were found with this method.References
Danias PG, Lehman T, Kartis T, Missri JC. 1999. Cardiocutaneous fisntula. Heart 81:325-6.nDomenicucci S, Chiarella F, Bellotti P, Bellone P, Lupi G, Vecchio C.n1999. Long-term prospective assessment of left ventricular thrombus in anterior wall acute myocardial infarction and implications for a rational approach to embolic risk. Am J Cardiol 83:519-24.nEarly GL, Ballenger M, Hannah H, Roberts SR. 2001. Simplified method of left ventricular thrombectomy. Ann Thorac Surg 72:953-4.nIguidbashian JP, Follette DM, Contino JP, Pollock ME, Lutrin C, Berkoff HA. 1993. Pericardial patch repair of left ventricular aneurysm. Ann Thorac Surg 55:1022-4.nJugdutt BI, Sivaram CA. 1989. Prospective two-dimensional echocardiographic evaluation of left ventricular thrombus and embolism after acute myocardial infarction. J Am Coll Cardiol 13:554-64.nKontny F, Dale J, Hegrenaes L, Lem P, Soberg T, Morstol T. 1993. Left ventricular thrombosis and arterial embolism after thrombolysis in acute anterior myocardial infarction: predictors and effects of adjunctive antithrombotic therapy. Eur Heart J 14:1489-92.nMazza IL, Jacobs JP, Aldousany A, Chang AC, Burke RP. 1998. Video-assisted cardioscopy for left ventricular thrombectomy in a child. Ann Thorac Surg 66:248-50.nMcHenry MC, Longworth DL, Rehm SJ, et al. 1988. Infections of the cardiac suture line after left ventricular surgery. Am J Med 85:292-300.nMooe T, Teien D, Karp K, Eriksson P. 1995. Left ventricular thrombosis after anterior myocardial infarction with and without thrombolytic treatment. J Intern Med 237:563-9.nNeskovic AN, Marinkovic J, Bojic M, Popovic AD. 1998. Predictors of left ventricular thrombus formation and disappearance after anterior wall myocardial infarction. Eur Heart J 19:908-16.nPrzyklenk K, Connelly C, McLaughlin RJ, Kloner RA, Apstein CS. 1987. Effect of myocyte necrosis on strength, strain and stiffness of isolated myocardial strips. Am Heart J 114:1349-59.nSharma ND, McCullough PA, Philbin EF, Weaver WD. 2000. Left ventricular thrombus and subsequent thromboembolism in patients with severe systolic dysfunction. Chest 117:314-20.nTanne D, Gottlieb S, Hod H, Reicher-Reiss H, Boyko U, Behar S. 1997. Incidence and mortality from early stroke associated with acute myocardial infarction in the prethrombolytic and thrombolytic eras: Secondary Prevention Reinfarction Israeli Nifedipine Trial (SPRINT) and Israeli Thrombolytic Survey Groups. J Am Coll Cardiol 30:1484-90.nVidhya MR, Haranath K, Sathyamurthy I. 1998. Left ventricular mural thrombus following myocardial infarction: a follow up study. J Assoc Physicians India 46:341-4.nVigneswaran WT, Podbielski FJ. 1998. Video-assisted thoracoscopic left ventricular thrombectomy and coronary artery revascularization. J Laparoendosc Adv Surg Tech A 8:437-40.nVincent JG, Skotknicki SH, van der Meer JJ, Kubat K. 1987. Resorbable suture support for ventricular aneurysmectomy. J Thorac Cardiovasc Surg 94:430-3.nVisser CA, Kan G, Meltzer RS, Dunning AJ, Roelandt J. 1985. Embolic potential of left ventricular thrombus after myocardial infarction: a two-dimensional echocardiographic study of 119 patients. J Am Coll Cardiol 5:1276-80.n
