| 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 |
Related Documents
:
|
6590005 - Intra-aortic balloon ecg artefact. 15500415 - A benefit-risk assessment of class iii antiarrhythmic agents. 10569675 - Significance of late ventricular potentials in myotonic dystrophy. 2805295 - Arrhythmias after orthotopic cardiac transplantation. prevalence and determinants durin... 9151055 - Intramural right atrial myocardial hemangioma treated by emergency surgery. 1876675 - The use of biosensors in pacemaker technology: experience with a ventricular rate respo... |
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. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Indications for an alternative effective treatment of head and neck squamous cell carcinoma with tem...
Next Document: Off Pump Coronary Artery Bypass versus Mitral Annuloplasty in Moderate Ischemic Mitral Regurgitation...