Midterm Results of the ^|^#8220;Sandwich Technique^|^#8221; via a Right Ventricle Incision to Repair Post-Infarction Ventricular Septal Defect

• Isoda Susumu

  Department of Cardiovascular Surgery, National Defense Medical College, Tokorozawa, Saitama, Japan

• Osako Motohiko

  Department of Cardiovascular Surgery, National Defense Medical College, Tokorozawa, Saitama, Japan

• Kimura Tamizo

  Department of Cardiovascular Surgery, National Defense Medical College, Tokorozawa, Saitama, Japan

• Mashiko Yuji

  Department of Cardiovascular Surgery, National Defense Medical College, Tokorozawa, Saitama, Japan

• Yamanaka Nozomu

  Department of Cardiovascular Surgery, National Defense Medical College, Tokorozawa, Saitama, Japan

• Nakamura Shingo

  Department of Cardiovascular Surgery, National Defense Medical College, Tokorozawa, Saitama, Japan

• Maehara Tadaaki

  Department of Cardiovascular Surgery, National Defense Medical College, Tokorozawa, Saitama, Japan

書誌事項

タイトル別名

• Midterm Results of the “Sandwich Technique” via a Right Ventricle Incision to Repair Post-Infarction Ventricular Septal Defect

抄録

Background: Residual shunting and mortality are problems associated with current surgical repair techniques for post-infarction ventricular septal defects.<br>Methods: We describe the mid-term results of the “sandwich technique” to repair a post-infarction ventricular septal defect (VSD), performed via a right ventricle incision. Application of direct ultrasonography to the right ventricular wall enables a surgeon to visualize the region, perform an appropriate incision into the right ventricle, and perform a trabecula resection. One patch is placed on the left ventricular (LV) side and the other on the right ventricular (RV) side of the VSD. The VSD is sealed with gelatin-resorcin-formalin (GRF) glue between the two patches.<br>Results: We had seven consecutive patients. The sandwich technique resulted in geometric preservation of the LV shape. There were no significant leaks, no mortality within a thirty-day postoperative period, and no bleeding problems. Hospital mortality was 14.3% (1/7 cases). Late survival longer than a year was obtained in five cases (71%). The longest patient survival time was nine years. No tissue degeneration was noted.<br>Conclusion: This technique may be useful for repairing a post-infarction VSD.

収録刊行物

• Annals of Thoracic and Cardiovascular Surgery

  Annals of Thoracic and Cardiovascular Surgery 18 (4), 318-321, 2012

  Annals of Thoracic and Cardiovascular Surgery 編集委員会

キーワード

• post-infarction ventricular septal defect
• right ventricle GRF glue

詳細情報

• CRID: 1390001204728457600
• NII論文ID: 10031034270
• NII書誌ID: AA11035352
• DOI: 10.5761/atcs.oa.11.01703
• COI: 1:STN:280:DC%2BC38rlvVWhtA%3D%3D
• ISSN: 21861005
• ISSN: 13411098
• PubMed: 22510795
• Web Site: https://www.jstage.jst.go.jp/article/atcs/18/4/18_oa.11.01703/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2013173943
• 本文言語コード: en
• データソース種別:
  • JaLC
  • Crossref
  • PubMed
  • CiNii Articles
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