Document Detail


Residual postmyocardial infarction ventricular septal defect repair through right atrium with right thoracotomy on beating heart technique.
MedLine Citation:
PMID:  18928499     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND AIM: The incidence of residual opening after repair of postmyocardial infarction ventricular septal defect (VSD) was reported to be 10% to 25%. Redo surgery with remedial sternotomy is more complex than primary surgery and is consequently associated with higher mortality and morbidity due to the myocardial and patent coronary grafts injury during pericardial dissection. METHODS: A 59-year-old female patient had coronary artery bypass grafting and closure of post myocardial infarction ventricular septal defect with patch 10 months earlier in a different cardiac center. She was admitted to the hospital for severe congestive heart failure. RESULTS: She was operated because of the residual opening after repair of post myocardial infarction ventricular septal defect. Post myocardial infarction ventricular septal defect closure was performed through the right atrium by on-pump beating heart technique via the right thoracotomy. CONCLUSIONS: Closure of post myocardial infarction ventricular septal defect with this technique offers an alternative and safe approach to repair of the residual VSD when the coronary bypass grafts are patent.
Authors:
Ferit Cicekcioglu; Ufuk Tutun; Ali Ihsan Parlar; Kerem Yay; Yesim Guray; Salih Fehmi Katircioglu
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of cardiac surgery     Volume:  23     ISSN:  1540-8191     ISO Abbreviation:  J Card Surg     Publication Date:    2008 Sep-Oct
Date Detail:
Created Date:  2008-10-20     Completed Date:  2009-03-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8908809     Medline TA:  J Card Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  580-3     Citation Subset:  IM    
Affiliation:
Cardiovascular Surgery Clinic, Turkiye Yuksek Ihtisas Hospital, Ankara, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Coronary Artery Bypass
Coronary Artery Bypass, Off-Pump / methods*
Echocardiography, Transesophageal
Female
Heart Atria / surgery,  ultrasonography
Heart Septal Defects, Ventricular / etiology,  surgery*,  ultrasonography
Humans
Incidence
Middle Aged
Myocardial Infarction / complications*,  physiopathology
Thoracotomy / methods*
Time Factors

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


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