[A proposal of a composite patch for early repair of ventricular septal perforation after acute myocardial infarction].
A 68-year-old female presented ventricular septal perforation (VAP) 3 days after acute myocardial infarction. The patient, supported with intraaortic balloon pumping, underwent surgical repair with success on day 15. At operation, the VAP, measuring 2.5 x 1.5 cm, was repaired using a composite patch consisting of Dacron felt and xenopericardium attached each other with fibrin glue. The composite patch was found really useful for repair of VSP in such early phase as when VSP-sorrounding myocardium was very fragile, particularly in respect to the prevention of residual and/or recurrent shunt. This was because the composite patch was considered to have such excellent characteristics as: 1) toughness with sufficient compressibility and extensibility, 2) high antithrombogenesity and good tissue compatibility, 3) zero porosity, and 4) easy handling because of unification of two materials.
Nawa
S
S
Department of Surgery II, Okayama University Medical School, Japan.
Tamesue
K
K
Yamamoto
H
H
Toshino
N
N
Shiba
T
T
Miyachi
Y
Y
Hayashi
K
K
D000368:Aged; D005260:Female; D006342:Heart Rupture, Post-Infarction / Q000601:surgery*; D006346:Heart Septum / Q000601:surgery*; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D019736:Prostheses and Implants; D018658:Ventricular Septal Rupture / Q000601:surgery*