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Anthony E. DeCicco, MD, M. Amer Alaiti, MD, Jafer Ali, MD, Jamie N

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Presentation on theme: "Anthony E. DeCicco, MD, M. Amer Alaiti, MD, Jafer Ali, MD, Jamie N"— Presentation transcript:

1 A Thoracotomy Approach for the Surgical Repair of a Left Ventricular Free Wall Rupture 
Anthony E. DeCicco, MD, M. Amer Alaiti, MD, Jafer Ali, MD, Jamie N. Cohen, MD, Salil V. Deo, MD, Sahil A. Parikh, MD, Soon J. Park, MD  The Annals of Thoracic Surgery  Volume 101, Issue 3, Pages e79-e82 (March 2016) DOI: /j.athoracsur Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 (Top left) Transesophageal echocardiogram, transgastric short-axis view shows LV lateral wall perforation and adjacent pseudoanuerysm; (top right) LV angiogram, RAO 30 projection, shows LV lateral pseudoaneurysm; (bottom) computed tomographic angiography of the thorax, axial image shows approximately 1.5-cm LV lateral wall defect and pseudoaneurysm compressing the left pulmonary veins and left atrium. (LV = left ventricular.) The Annals of Thoracic Surgery  , e79-e82DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 (Left and right) Lateral wall rupture, hemostat, and Yankauer for size comparison, respectively. The Annals of Thoracic Surgery  , e79-e82DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 (Top left) CorMatrix to be inserted as an inlay patch within the LV; (top right) second layer of CorMatrix inserted as an epicardial onlay patch, to buttress the repaired defect; (bottom right) Dermabond adhesive applied between internal and external patches; (bottom left) LV lateral wall following repair, with appropriate hemostasis. (LV = left ventricular.) The Annals of Thoracic Surgery  , e79-e82DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

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