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Doctors may have found the best yet remedy for a broken heart a tiny umbrella-like device called an occluder.
British surgeons have performed the world’s first operation using the device, which can mend a hole in the heart’s inner wall.
The new technique could save the lives of thousands of heart-attack patients who would otherwise die.
About 4,000 British people suffer attacks with acute myocardial rupture where a hole appears in the inner wall dividing the right and the left heart chambers every year.
The hole allows blood to flow from the high-pressure left chamber into the low-pressure right one, and without immediate help 95 per cent of patients suffer severe heart failure and die.
Traditionally the only medical intervention, for those patients fit enough, was open-heart surgery, where a patch is stitched over the hole. But 50 per cent of patients die during the tricky operation, as it often leads to other holes opening up in the muscle.
The pioneering occluder operation was carried out on 75-year-old John Hall, at King’s College Hospital in south London three months ago.
Cardiothoracic surgeon Olaf Wendler, who operated with interventional cardiologist Jonathan Hill, decided to try the new procedure because this type of rupture has "been one of the greatest unsolved problems" in heart surgery.
"There was so little we could do for these patients. We thought the new device might work better than trying to patch it up," he said.
"Open-heart surgery puts a big strain on the heart, as you are sewing a patch on to muscle that is very soft and has deteriorated. With this, the umbrella seals up the hole and doesn’t put the muscle under new strain," said Wendler.
Hall went into hospital after a heart attack last March and was given six days to regain some strength. He was then taken to an operating theatre and put on a heart-lung machine to relieve pressure on his heart and circulate his blood during surgery. First Wendler carried out a coronary bypass to restore the normal blood supply to the heart. The tiny occluder, just over 10mm long, was then placed through a surgical incision in the right chamber.
The surgeon was able to see the hole and guide the device through it. He then opened its two "umbrellas" on either side of the hole and they attached themselves to the edges.
Hall, who is recuperating at home, said: "Before this, I hadn’t been to a GP for 40 years. The first I knew of it was that I felt a bit grotty and started to feel shivery inside. Now I feel really well."
Wendler has permission from the hospital’s ethical committee to perform the procedure on four other patients as part of a trial before it can be given the go-ahead for regular use.
