Double-patch closure using gelatin resorcine formol glue of a ventricular septal perforation following acute myocardial infarction.
Complete closure is most important when attempting acute-phase closure of a ventricular septal perforation following acute myocardial infarction. Here, we present a case of a 76-year-old male with a ventricular septal perforation following acute myocardial infarction. The ventricular septal perforation was repaired by stitching small and large bovine pericardial patches onto the affected septum from the side of the left ventricle, then cementing the two patches together with gelatin resorcine formol glue injected into the space between them. Complete closure of the ventricular septal perforation was accomplished. Simultaneously, right coronary artery bypass grafting was performed using a saphenous vein. The postoperative course was uneventful, and the patient was discharged, with a favorable post-discharge course for 24 months to date after surgery.
Yamamoto
Nobuyuki
N
Departments of Thoracic and Cardiovascular Surgery, Kitasato University School of Medicine, Kitasato 1-15-1, Sagamihara, Kanagawa 228-8555, Japan.
Ohara
Kuniyoshi
K
Nie
Masaki
M
Torii
Shinzo
S
Imai
Hiroshi
H
Yoshimura
Hirokuni
H
D000368:Aged; D006348:Cardiac Surgical Procedures / Q000379:methods*; D004338:Drug Combinations; D005557:Formaldehyde / Q000627:therapeutic use*; D005780:Gelatin / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D012118:Resorcinols / Q000627:therapeutic use*; D014014:Tissue Adhesives / Q000627:therapeutic use*; D018658:Ventricular Septal Rupture / Q000601:surgery*
D004338:Drug Combinations; D012118:Resorcinols; D014014:Tissue Adhesives; C027813:gelatin-resorcinol-formaldehyde tissue adhesive; D005557:Formaldehyde; D005780:Gelatin