Document Detail

Early and late results of surgical treatment for ventricular septal rupture with and without use of the infarction exclusion technique-experience with two- and three-sheet modification.
MedLine Citation:
PMID:  22321111     Owner:  NLM     Status:  In-Data-Review    
Abstract  Background: Ventricular septal rupture (VSR) is an infrequent but life-threatening situation. Although outcomes have improved with the introduction of infarction exclusion, we have experienced difficulty in determining the optimal patch size and shape for obtaining good outcomes. Therefore, we modified the infarction exclusion technique. Herein, we review our experience on the basis of early closure of VSR with and without use of the infarction exclusion technique. Methods: We retrospectively analyzed the hospital records of 33 patients who underwent surgical treatment for VSR. We employed Dagget's method from 1982 to 1995, and then introduced the infarction exclusion technique in 1995. We have developed two modifications: the two-sheet single-patch technique and the three-sheet double-patch technique. Results: Overall hospital mortality was 41.9% and that of the infarction exclusion group was significantly lower than the hospital mortality rate of the noninfarction exclusion group (21% and 63%, respectively, p = 0.0266). Late mortality of survivors was low in all groups during the observation period. The three-sheet double-patch group showed no residual shunt. This difference in outcomes between the single-patch and double-patch groups was statistically significant (p = 0.0174). Conclusions: The two-sheet method facilitates the restoration of ventricular geometry. A double-patch using the three-sheet method may be useful for reducing residual shunt. (J Card Surg 2012;27:34-38).
Toshio Kaneda; Toshihiko Saga; Hitoshi Kitayama; Susumu Nakamoto; Takuma Satsu; Takako Nishino; Kohsuke Fujii; Shintaro Yukami
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of cardiac surgery     Volume:  27     ISSN:  1540-8191     ISO Abbreviation:  J Card Surg     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-02-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8908809     Medline TA:  J Card Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  34-8     Citation Subset:  IM    
Copyright Information:
© 2012 Wiley Periodicals, Inc.
Department of Cardiovascular Surgery, School of Medicine, Kinki University, Ohno-Higashi, Osaka-Sayama City, Osaka, Japan.
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