Double patch repair with infarct exclusion technique through a single ventriculotomy for ischemic ventricular septal perforation

• Tomita Shigeyuki

  Department of General and Cardiothoracic Surgery, Kanazawa University Hospital

Bibliographic Information

Other Title

• 急性心筋梗塞後心室中隔穿孔に対する一側心室アプローチによるdouble patch + infarct exclusion法

Abstract

Objective: Although the introduction of the infarct exclusion technique has improved outcomes for post infarction ventricular septal perforation (VSP), a residual shunt is still problematic. We describe a new technique for repairing the VSP using a double patch repair with infarction exclusion method. Patients and Methods: Between October 2010 and October 2012, 4 patients underwent VSP closure with new technique (male 2, female 2). Three patients had anterior infarction and 1 patient had posteroinferior infarction. Double patch suture for VSP was performed through single ventricle approach and infarct exclusion was added. Results: Double patch repair with infarct exclusion through left ventricle was achieved in three patients. Double patch repair or double patch repair with infarct exclusion through right ventricle was achieved in 1 patient. All patients discharged without any complications and preserved normal shaped ventricular septum and left ventricular function. Conclusion: This new technique can support various size and lesion VSP without residual and may improve outcomes of VSP.

Journal

• Journal of the Japanese Coronary Association

  Journal of the Japanese Coronary Association 20 (3), 201-205, 2014

  The Japanese Coronary Association

Keywords

• acute myocardial infarction
• ventricular septal perforation
• double patch repair
• infarct exclusion

Details

• CRID: 1390282679445153024
• NII Article ID: 130003397732
• DOI: 10.7793/jcoron.20.13-00019
• ISSN: 21871949
• ISSN: 13417703
• Web Site: https://search.jamas.or.jp/link/ui/2015012531
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed