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Double Valve Replacement and Trans-Right Ventricular Patch Repair for Ventricular Septal Rupture with Right Ventricular Free Wall Dissection
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- Kan-o Meikun
- Department of Cardiovascular Surgery, Kyushu University Hospital
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- Nita Tobuhiro
- Department of Cardiovascular Surgery, Kyushu University Hospital
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- Matsunaga Shogo
- Department of Cardiovascular Surgery, Kyushu University Hospital
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- Fujimoto Noriko
- Department of Cardiovascular Surgery, Kyushu University Hospital
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- Ushijima Tomoki
- Department of Cardiovascular Surgery, Kyushu University Hospital
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- Ando Yusuke
- Department of Cardiovascular Surgery, Kyushu University Hospital
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- Shinohara Gen
- Department of Cardiovascular Surgery, Kyushu University Hospital
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- Kimura Satoshi
- Department of Cardiovascular Surgery, Kyushu University Hospital
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- Sonoda Hiromichi
- Department of Cardiovascular Surgery, Kyushu University Hospital
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- Shiose Akira
- Department of Cardiovascular Surgery, Kyushu University Hospital
Description
Ventricular septal rupture is a serious complication of acute myocardial infarction. We encountered a rare case of ventricular septal rupture with intramyocardial dissection extending to the right ventricular free wall. Significant tricuspid valve regurgitation was also observed. The patient underwent a trans-right ventricular double-patch repair for ventricular septal rupture. Intraoperative findings revealed a detached inferior papillary muscle of the tricuspid valve secondary to intramyocardial dissection, which necessitated tricuspid valve replacement. In addition, because the edge of the ventricular septal rupture was extremely close to the mitral valve annulus, concomitant mitral valve replacement was performed to achieve a better fit of the left ventricular side patch. The postoperative course was uneventful, and echocardiography revealed no residual shunt flow. Double valve replacement combined with trans-right ventricular patch repair was useful in addressing this rare situation.
Journal
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- Journal of Coronary Artery Disease
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Journal of Coronary Artery Disease 31 (1), 29-34, 2025-03-25
The Japanese Coronary Association
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Keywords
Details 詳細情報について
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- CRID
- 1390303620065748096
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- ISSN
- 24342173
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- Text Lang
- en
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- Data Source
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- JaLC
- Crossref
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- Abstract License Flag
- Disallowed