Publication, ¿surgical results and usefulness of biological glue for ventricular septal perforation/left ventricular rupture,¿ by uchida k et al., reported the following: 31 total cases (20 vsp, 11 cases of lvfwr) with 28 cases using grf and 2 using bioglue for repair.Operation results for 20 vsp cases: no deaths for 30 days and 4 cases of in-hospital deaths (20%).Cause of deaths included 1 case of vsp recurrence after 1 month, 1 case of mr heart failure due to papillary muscle failure, and 2 cases of elderly cognitive dysfunction.Residual short shunt in 6 cases (30%), reoperation in 2 cases (10%).Cardiac death avoidance rate was 5 years (80%) and 10 years (70%).Operation results for 11 lvfwr cases: 10 cases successful in hemostasis, 1 failed resuscitation.4 deaths in 30 days (40%): 1 case of resuscitation failure, 1 case of hypoxic brain death, 1 case of heart failure, and 1 case of cerebral infarction.Death avoidance rate at 5 years was 36%, with heart failure recognized in 3 cases.The authors conclude that the ¿use of biological glue for necrotic myocardium seems to be safe and useful¿.However, those patients with extensive myocardial infarction, cardiac failure may be uncontrollable even with the surgical treatment.The article does not specify which glue (grf or bioglue) may have contributed to the following adverse events: reoperation, death.
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