Long Term Outcome of Ventricular Septal Perforation after Post-infaction^|^mdash;The Efficiency of Double-Patch Repair with a Bilateral Ventriculotomy^|^mdash;
書誌事項
- タイトル別名
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- Long Term Outcome of Ventricular Septal Perforation after Post-infaction—The Efficiency of Double-Patch Repair with a Bilateral Ventriculotomy—
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Objectives: Repair of a postinfarction ventricular septal perforation (VSP) had been a difficult procedure with a high risk of postoperative residual shunt and subsequent mortality. This retrospective study aimed to assess a modified infarct exclusion technique with a biventricular approach. Methods: Thirty three consecutive patients who underwent the infarct exclusion procedure for VSP between 2002 and 2013 were reviewed. A biventricular approach (B group: 9 patients) and a left ventricular approach (L group: 24 patients) were analyzed. Results: The overall 30-day mortality of B and L group was 11%, and 21%, respectively, and there was not different between the two groups (p=0.53). No postoperative residual shunt was observed in the B group, however 8 cases in the L group (p=0.034). The overall five-year survival rate in the B and L group was 89% and 61%, respectively (p=0.19), however, the survival rate at five years revealed that significant difference between with and without residual VSP. Conclusion: The repair of post-infarction VSP can be safely performed by the infarct exclusion technique with a biventricular approach. This technique contributed to reduce surgical mortality and prevented recurrence of the VSP.
収録刊行物
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- Journal of the Japanese Coronary Association
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Journal of the Japanese Coronary Association 20 (4), 321-325, 2014
特定非営利活動法人 日本冠疾患学会
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詳細情報 詳細情報について
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- CRID
- 1390282679445493120
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- NII論文ID
- 130004709222
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- ISSN
- 21871949
- 13417703
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- 本文言語コード
- en
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- データソース種別
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- JaLC
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- CiNii Articles
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- 使用不可