TWO OPERATED CASES OF POSTINFARCTION VENTRICULAR SEPTAL PERFORATION USING “ENDOCARDIAL PATCH REPAIR WITH INFARCT EXCLUSION”

DOI Web Site 12 References

Bibliographic Information

Other Title
  • “Endocardial patch repair with infarct exclusion”を用いた急性心筋梗塞後心室中隔穿孔の2例

Search this article

Abstract

The surgical results of postinfarction ventricular septal defect have been variable. Traditional “Dagett's method” has consisted of infarctectomy and reconstruction of the septum and ventricular walls, but infarctectomy results in significant compromise in cardiac function. In recent two cases, we employed the new technique introduced by Komeda and David for the reconstruction of the left ventricle using a single pericardial patch. Both patients were uregently operated on using this technique, and a CABG operation was performed in one of them simultaneously. One patient had a residual shunt but was hemodynamically stable. This method has advantages of postoperative cardiac function, preventing ventricular aneurysm and decreasing postoperative bleeding, but a residual shunt should be cared because a plane patch has to be sutured to endocardium like a dome in this method.

Journal

References(12)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top