Right Atrial Approach for Ventricular Septal Perforation
- VernacularTitle:心室中隔穿孔に対する右房アプローチによるsandwich patch法の1例
- Author:
Daiki HIRAYAMA
1
;
Susumu MANABE
1
;
Norihisa YUGE
1
;
Tomohiro SAITO
1
Author Information
- Keywords: ventricular septal perforation; right atrial approach
- From:Japanese Journal of Cardiovascular Surgery 2023;52(3):159-162
- CountryJapan
- Language:Japanese
- Abstract: An 84-year-old man visited a local doctor, complaining of general fatigue for the last 2 months and dyspnea at rest since the last few days. His echocardiogram revealed a defect hole measuring 1.5 cm at the base of the ventricular septum and left-to-right shunt blood flow. The diagnosis of ventricular septal perforation due to subacute myocardial infarction was confirmed, and an emergency surgery was performed. A right atrial oblique incision revealed a perforation just below the tricuspid valve septal apex. The perforation site was closed using the sandwich patch technique with two bovine pericardial membrane patches. The patient was transferred to the hospital for rehabilitation on day 18 postoperatively.
