title: [Modified Komeda-David operation for postinfarction ventricular septal perforation].
abstract: The infarct exclusion technique with a xeno-pericardial patch which Komeda and associates firstly reported in 1990 is one of the best procedure to close ventricular septal perforation. A large patch can protect the perforation and the surrounding weak tissue from the internal left ventricular pressure. However, suturing this large patch to the left ventricular wall through the small incision is not technically easy because of the patch design in the ventricle. We modified the design of the patch. This round shaped bovine pericardial patch was sutured continuously to the left ventricular wall. Then, excessive part of the patch was trimmed to make a corn shape. Finally, the corn shaped patch fit the left ventricular wall naturally.
authors.affiliation: Department of Cardiac Surgery, Jikei University School of Medicine, Tokyo, Japan.
authors.forename: Noriyasu
authors.initials: N
authors.lastname: Kawada
authors.forename: H
authors.initials: H
authors.lastname: Kurosawa
authors.forename: K
authors.initials: K
authors.lastname: Suzuki
authors.forename: H
authors.initials: H
authors.lastname: Okuyama
authors.forename: S
authors.initials: S
authors.lastname: Ishii
authors.forename: K
authors.initials: K
authors.lastname: Nomura
authors.forename: R
authors.initials: R
authors.lastname: Nagahori
authors.forename: M
authors.initials: M
authors.lastname: Hanai
authors.forename: Y
authors.initials: Y
authors.lastname: Koh
authors.forename: Y
authors.initials: Y
authors.lastname: Matsumura
authors.forename: T
authors.initials: T
authors.lastname: Inoue
authors.forename: K
authors.initials: K
authors.lastname: Hashimoto
mesh_terms: D000368:Aged; D006348:Cardiac Surgical Procedures / Q000379:methods*; D006801:Humans; D008297:Male; D013536:Suture Techniques; D018658:Ventricular Septal Rupture / Q000601:surgery*