[Surgical repair of postinfarction ventricular septal perforation by endocardial patch with infarction exclusion].
We evaluated the surgical results of postinfarction ventricular septal perforation by endocardial patch with infarction exclusion.


METHODS
We reviewed 8 patients complicating AMI who underwent surgical treatment at our institution from July 1997 to August 2000 (6 males, 2 females, mean age 73.9 +/- 9, range 57-87). The localization of AMI and VSP was anterior in 6 patients, inferior in 2. All patients had coronary angiography preoperatively. And 7 patients had the percutaneous transluminal coronary angioplasty of the infarct artery.


RESULTS
There were 2 hospital deaths due to cerebral infarction and pulmonary hemorrhage. All deaths occurred in patients with cardiogenic shock.


CONCLUSIONS
Good results were obtained by infarction exclusion technique. Better operative results may be expected with the preoperative coronary angioplasty of the infarct artery.
Tanaka
T
T
Department of Cardiovascular Surgery, National Toyohashi Higashi Hospital, Toyohashi, Japan.
Hashimoto
M
M
Ishida
N
N
Manabe
H
H
Matsumoto
K
K
D000368:Aged; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary; D000818:Animals; D006348:Cardiac Surgical Procedures / Q000379:methods*; D002417:Cattle; D004699:Endocardium / Q000637:transplantation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000628:therapy; D011300:Preoperative Care; D012086:Reoperation; D013536:Suture Techniques; D016896:Treatment Outcome; D018658:Ventricular Septal Rupture / Q000209:etiology / Q000601:surgery*