A Simple Modified Infarct Exclusion Technique for a Patient with Large Ventricular Septal Perforation
10.4326/jjcvs.42.168
- VernacularTitle:広範囲出血性梗塞を伴う心筋梗塞後心室中隔穿孔例に Modified infarct exclusion 法による閉鎖術を行った1手術例
- Author:
Kazuhiro Hisamoto
;
Masaaki Toyama
;
Masanori Katoh
;
Yuji Kato
;
Yukiharu Sugimura
- Publication Type:Journal Article
- Keywords:
ventricular septal perforation;
VSP;
modified infarct exclusion technique
- From:Japanese Journal of Cardiovascular Surgery
2013;42(2):168-171
- CountryJapan
- Language:Japanese
-
Abstract:
A 79 year-old woman was given a diagnosis of acute myocardial infarction and was immediately transferred to our hospital by a helicopter. Cardiologists successfully revascularized the occluded left anterior descending artery which was considered to be the care of this case. After that, they detected a large ventricular septal perforation by transthoracic echocardiography. We performed repair of the ventricular septal perforation 4 days later, with a modified infarct exclusion technique. Residual shunt flow was not seen by echocardiography after the operation. This patient recovered uneventfully and was discharged on postoperative day 55.
