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    
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.
Susumu Isoda; Motohiko Osako; Tamizo Kimura; Yuji Mashiko; Nozomu Yamanaka; Shingo Nakamura; Tadaaki Maehara
Related Documents :
7900625 - Pattern of coronary artery disease in patients with ventricular tachycardia and fibrill...
18992625 - The effects of acupuncture on cardiac arrhythmias: a literature review.
16015715 - Clinical multichannel mcg in unshielded hospital environment.
12537415 - Detection of the sinus node artery using electron beam computed tomography of the heart.
23438775 - Electromagnetic interference of automatic implantable cardioverter defibrillator and he...
17904725 - Impact of the number of image planes of real-time three-dimensional echocardiography on...
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:  -    
Department of Cardiovascular Surgery, National Defense Medical College, Tokorozawa, Saitama, Japan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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...