Repair of acute postinfarct posterior ventricular septal rupture without left ventriculotomy: a stable suture preserving left ventricular geometry.

Abstract

The present article describes the case of a man operated upon for emergency closure of an acute postinfarction defect in the posterior septum. We used a novel technique. The rupture was approached by disconnection of the right ventricular posterior free wall with the exposure of the right side of the septum. First, the edges of the defect were joined together by a single purse-string pledgetted suture. Then an on-site tailored double-folded patch was applied with the aim of closing both the septal defect and the RV access. In our limited experience the technique proved to be safe and effective, allowed optimal exposure of the defect and placement of stable stitches, reducing postoperative complications.

• Authors: Francesco Alessandrini, Carlo Canosa, Carlo Maria De Filippo, Giuseppe Nasso, Paola Spatuzza, Marco Rossi, Guido Materazzo
• Journal: Journal of cardiac surgery (J Card Surg) 2006 Jan-Feb Vol. 21 Issue 1 Pg. 94-6; discussion 97 ISSN: 0886-0440 [Print] United States
• PMID: 16426360 (Publication Type: Case Reports, Journal Article)

Topics

• Acute Disease
• Aged
• Cardiac Surgical Procedures (methods)
• Follow-Up Studies
• Heart Septal Defects, Ventricular (etiology, surgery)
• Humans
• Male
• Myocardial Infarction (complications)
• Rupture, Spontaneous
• Suture Techniques (instrumentation)
• Sutures