title: Double-patch technique for postinfarction ventricular septal perforation.
abstract: A modified infarct-exclusion technique for postinfarction ventricular septal perforation is presented. The perforation is closed directly by a small patch next to the conventional patch, and biological glue is applied between the patches to induce stable polymerization. The patch stuck to the infarcted septum, and no residual shunt was observed in any patient because the wide adhesion prevents excessive pressure on the suture line. Seven of 9 patients in whom this method was used had good results. This technique appears suited for repair of ventricular septal perforations, especially those with extensive fresh infarction.
authors.affiliation: Department of Cardiothoracic Surgery, Graduate School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan. n-tabu.tsrg@tmd.ac.jp
authors.forename: Noriyuki
authors.initials: N
authors.lastname: Tabuchi
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Tanaka
authors.forename: Hirokuni
authors.initials: H
authors.lastname: Arai
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Mizuno
authors.forename: Hideki
authors.initials: H
authors.lastname: Nakahara
authors.forename: Nagahisa
authors.initials: N
authors.lastname: Oshima
authors.forename: Masaaki
authors.initials: M
authors.lastname: Toyama
authors.forename: Makoto
authors.initials: M
authors.lastname: Sunamori
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods; D006801:Humans; D018658:Ventricular Septal Rupture / Q000601:surgery*