Infarction exclusion technique with transmural sutures for postinfarction ventricular septal rupture.

Abstract

We present a case of postinfarction ventricular septal rupture (VSR) who underwent successful repair using a modified infarction exclusion technique. In our procedure a heterologous pericardial patch is sutured to healthy endocardium in the free wall and septum all around the infarcted area. Interrupted circular mattress sutures were placed through the ventricular wall in such a way as to exclude the VSR and the infarcted muscle of the left ventricle. We describe herein a novel procedure for repairing postinfarction VSR, by the transmural infarction exclusion technique.

• Authors: Keisuke Morimoto, Iwao Taniguchi, Shigeto Miyasaka, Tetsuya Aoki, Ippei Kato, Takeshi Yamaga
• Journal: Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia (Ann Thorac Cardiovasc Surg) Vol. 10 Issue 1 Pg. 39-41 (Feb 2004) ISSN: 1341-1098 [Print] Japan
• PMID: 15008698 (Publication Type: Case Reports, Journal Article)

Topics

• Aged
• Female
• Humans
• Myocardial Infarction (complications)
• Pericardium (transplantation)
• Suture Techniques
• Transplantation, Heterologous
• Ventricular Septal Rupture (etiology, surgery)