Successful Surgical Repair for Subacute Postinfarcted Ventricular Septal Perforation Complicated by Left Ventricular Aneurysm

VernacularTitle:Successful Surgical Repair for Subacute Postinfarcted Ventricular Septal Perforation Complicated by Left Ventricular Aneurysm
Author: Reo SAKAKURA ¹ ; Tomoaki SUZUKI ¹ ; Naoshi MINAMIDATE ¹ ; Shinya TERADA ¹ ; Takeshi KINOSHITA ¹ ; Tohru ASAI ¹
Author Information

1. Department of Cardiovascular Surgery, Shiga University of Medical Science
Keywords: ventricular septal perforation; left ventricular
From:Japanese Journal of Cardiovascular Surgery 2018;47(2):54-57
CountryJapan
Language:Japanese
Abstract: The surgical outcome is worse when VSP is attempted soon after myocardial infarction due to the more poor general condition, preoperative cardiogenic shock, fragile infarcted myocardial tissue. We successfully rescued a 80-year cardiopulmonary arrest patient who was suffering from subacute postinfarcted VSP complicated by the left ventricular aneurysm. The VSP was closed with the sandwich patch technique approached from both ventricles. The left ventricular aneurysm was repaired with endoventricular circular patch plasty.