Entire septal patch technique for postinfarction ventricular septal rupture.
Postinfarction ventricular septal rupture is still a surgically challenging situation with high operative mortality. We report a case of ventricular septal rupture in a 75-year-old woman successfully treated with our newly devised technique, in which a pliable large septal path is fixed with transmural sutures placed in posterior left ventricular free wall and anterior ventriculotomy closing sutures, thus covering the septal wall almost entirely. Our method may simplify the operation and reduce the risk of residual leakage.
Department of Cardiovascular Surgery, Japanese Red Cross, Nagoya First Hospital, Japan. toshi-i@sannet.ne.jp
T
T
Ito
H
H
Hagiwara
A
A
Maekawa
D000368:Aged; D005260:Female; D006342:Heart Rupture, Post-Infarction / Q000601:surgery*; D006346:Heart Septum / Q000293:injuries* / Q000601:surgery*; D006801:Humans; D013536:Suture Techniques