Document Detail


A modified infarct exclusion repair of posterior postinfarction ventricular perforation: triple-patch technique for postinfarction ventricular septal perforation in 2 female patients.
MedLine Citation:
PMID:  21587139     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We describe a new technique for the early surgical repair of a posterior postinfarction ventricular septal perforation (VSP) in two consecutive female patients. The occurrence of a posterior VSP is rare, and its repair is technically difficult because the posteromedial papillary muscle is located adjacent to the intraventricular septum. This modification appears to prevent leaks to the right ventricle through the VPS with a single direct patch and the use of two equine pericardial patches to form a single endocardial pouch. The women were 77 and 62 years old, and the time between the onset of acute MI and surgery was 3 and 6 days. On preoperative catheterization, Qp/Qs was 4.18 and 4.01. Neither operative death nor residual shunting was observed.
Authors:
Tsutomu Sugimoto; Shinpei Yoshii; Kazuo Yamamoto; Kouki Takizawa; Akifumi Uehara; Masahiro Satoh; Sigetaka Kasuya
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia     Volume:  17     ISSN:  2186-1005     ISO Abbreviation:  Ann Thorac Cardiovasc Surg     Publication Date:  2011  
Date Detail:
Created Date:  2011-05-18     Completed Date:  2011-09-09     Revised Date:  2012-06-18    
Medline Journal Info:
Nlm Unique ID:  9703158     Medline TA:  Ann Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  90-3     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, Tachikawa Medical Center, 3-2-11 Kanda-machi, Nagaoka, Niigata, Japan. tsugimoto-cvs@umin.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Aged
Animals
Cardiac Surgical Procedures*
Female
Heart Catheterization
Horses
Humans
Middle Aged
Myocardial Infarction / complications*
Pericardium / transplantation*
Suture Techniques
Treatment Outcome
Ventricular Septal Rupture / diagnosis,  etiology,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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