Document Detail


Midterm Results of the "Sandwich Technique" via a Right Ventricle Incision to Repair Post-Infarction Ventricular Septal Defect.
MedLine Citation:
PMID:  22510795     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Background: Residual shunting and mortality are problems associated with current surgical repair techniques for post-infarction ventricular septal defects.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.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.Conclusion: This technique may be useful for repairing a post-infarction VSD.
Authors:
Susumu Isoda; Motohiko Osako; Tamizo Kimura; Yuji Mashiko; Nozomu Yamanaka; Shingo Nakamura; Tadaaki Maehara
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-4-17
Journal Detail:
Title:  Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia     Volume:  -     ISSN:  1341-1098     ISO Abbreviation:  -     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-4-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9703158     Medline TA:  Ann Thorac Cardiovasc Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Cardiovascular Surgery, National Defense Medical College, Tokorozawa, Saitama, Japan.
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