PMC7605974_01
Computed tomography (CT) of the patient prior to operation. A large vegetation can be seen adjacent to the aortic valve. Pericardial effusion is clearly visible.
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FI190349crc-1
Computed tomography (CT) revealed a large vegetation at the aortic valve cusp and a pericardial effusion ( Fig. 1 ).
Free left ventricular wall rupture in situ and reconstruction method. (
A
) Rupture of the left ventricular wall surrounded by necrotic tissue (*). (
B
) A 1.5 x 1.5 cm large Dacron patch (#) is placed on the endomyocardial side by eight single sutures. (
C
) The second Dacron patch (+) is placed to the outside of the myocardium and sutured to the initial eight Prolene single-stitch sutures. (
D
) An additional running suture placed around the second pericardial patch to prevent bleeding and the venous bypass graft to the circumflex artery.
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PMC7605974_01_10-1055-s-0040-1716391-i190349crc-2.jpg
FI190349crc-2
This rupture was located close to the left ventricular appendage and the circumflex artery ( Fig. 2A ). Fig. 2B-D , Fig. 3 ). For myocardial reconstruction, we used a 1.5 x 1.5 cm large Dacron patch, which was placed on the endomyocardial side by eight single sutures.