Surgery for Ventricular Septal Defect following Acute Myocardial Infarction with Special Reference to Operative Procedure.

DOI
  • Nagamine Susumu
    Department of Cardiovascular Surgery, Yamagata Prefectual Central Hospital
  • Abe Hiromasa
    Department of Cardiovascular Surgery, Yamagata Prefectual Central Hospital
  • Okada Yoshiyuki
    Department of Cardiovascular Surgery, Yamagata Prefectual Central Hospital
  • Ottomo Michitoshi
    Department of Cardiovascular Surgery, Yamagata Prefectual Central Hospital

Bibliographic Information

Other Title
  • 急性心筋梗塞に伴う心室中隔穿孔に対する手術術式についての考察

Abstract

Nine patients underwent surgical repair of ventricular septal defect (VSP) following acute myocardial infarction in our hospital during the past 5 years. Sites of perforation were apex ventricular septum (A-VSP) in five, high anterior ventricular septum (H-VSP) in one and posterior ventricular septum (P-VSP) in three. A-VSPs were closed by single patch on the left ventricular side of the septum. H-VSP was closed by double patch and ventriculotomy was closed directly. For P-VSPs, three different operative procedures were performed. Patch closure of VSP and reconstruction of free ventricular wall was done in one, while in other two VSP was closed by single patch on the left or right side of the septum. There were two operative deaths, one A-VSP and one P-VSP. We think that patch closure through right ventriculotomy is useful in cases of small P-VSP.

Journal

Keywords

Details 詳細情報について

  • CRID
    1390001204705383168
  • NII Article ID
    130003628716
  • DOI
    10.4326/jjcvs.23.84
  • ISSN
    18834108
    02851474
  • Text Lang
    ja
  • Data Source
    • JaLC
    • Crossref
    • CiNii Articles
  • Abstract License Flag
    Disallowed

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