BACKGROUND: Early surgical repair of postinfarction ventricular septal defect has improved early mortality rate. Mortality remains high in patients presenting within 1 week of infarction, or when rupture has occurred in the inferior part of the septum. METHODS: We describe a surgical technique for repair of postinfarction ventricular septal defect that involves no infarctectomy: continuous suturing of a bovine pericardial patch to healthy myocardium around the infarcted area and use of gelatin-resorcin-formol biological glue as a sealant between the patch and the interventricular septum. RESULTS: We have used this technique successfully in 3 consecutive patients in whom repair was performed within 1 week of myocardial infarction. The rupture of the interventricular septum was located anteriorly in 2 patients and inferiorly in the other. They all made an uneventful recovery, and at follow-up there was no evidence of residual shunt. CONCLUSIONS: This technique can be a useful adjunct to the surgical management of this difficult group of patients.
BACKGROUND: Early surgical repair of postinfarction ventricular septal defect has improved early mortality rate. Mortality remains high in patients presenting within 1 week of infarction, or when rupture has occurred in the inferior part of the septum. METHODS: We describe a surgical technique for repair of postinfarction ventricular septal defect that involves no infarctectomy: continuous suturing of a bovine pericardial patch to healthy myocardium around the infarcted area and use of gelatin-resorcin-formol biological glue as a sealant between the patch and the interventricular septum. RESULTS: We have used this technique successfully in 3 consecutive patients in whom repair was performed within 1 week of myocardial infarction. The rupture of the interventricular septum was located anteriorly in 2 patients and inferiorly in the other. They all made an uneventful recovery, and at follow-up there was no evidence of residual shunt. CONCLUSIONS: This technique can be a useful adjunct to the surgical management of this difficult group of patients.
Authors: Hunaid A Vohra; Samena Chaudhry; Christopher M R Satur; Mary Heber; Rob Butler; Paul D Ridley Journal: J Cardiothorac Surg Date: 2006-05-18 Impact factor: 1.637
Authors: In Sook Kim; Jung Hee Lee; Dae-Sang Lee; Yang Hyun Cho; Wook Sung Kim; Dong Seop Jeong; Young Tak Lee Journal: Korean J Thorac Cardiovasc Surg Date: 2015-12-05