A Case of Surgical Repair for Left Ventricular Septal Perforation with Septal Dissection due to Acute Myocardial Infarction
- VernacularTitle:下壁心筋梗塞に合併した心室中隔解離，心室中隔穿孔に対するパッチ修復術の1例
- Author:
Takashi SHIMADA
1
;
Yuichi TASAKI
1
;
Shirou HAZAMA
1
;
Takashi MIURA
2
Author Information
- Keywords: inferior myocardial infarction; ventricular septal dissection; ventricular septal perforation
- From:Japanese Journal of Cardiovascular Surgery 2025;54(1):1-4
- CountryJapan
- Language:Japanese
- Abstract: The patient is a 71-year-old man who developed a ventricular septal perforation (VSP) with septal dissection after acute myocardial infarction (AMI). Heart failure symptoms were stabilized with intra-aortic balloon pumping and diuretics, and the VSP was closed via a left ventriculotomy approach on day 23 after AMI and day 12 after identification of the VSP. The right ventricular perforation was closed with a single patch of bovine pericardium, and the left ventricular perforation was closed with a double patch using the infarct exclusion technique. The septal dissection cavity was closed with BioGlue surgical adhesive (Artivion, Inc., Kennesaw, GA, USA). The patient's postoperative course was uneventful and he was discharged home on postoperative day 36. His NYHA functional class was I at 1 year and 6 months after surgery.
