Infarction-exclusion technique with the on-pump beating heart approach for ventricular septal perforation.
We report a successful surgical management of postinfarction ventricular septal perforation by infarction-exclusion technique with the on-pump beating heart approach and concomitant coronary artery bypass grafting. The identification of the suture line by direct inspection and finger palpation could be more accurate in determining contractile, thus viable myocardium supporting the patch, and concomitant coronary artery bypass grafting with on-pump beating heart could minimize the cardioplegia-induced myocardial damage.
Shimamoto
Takeshi
T
Department of Cardiovascular Surgery, Kyoto University Graduate School of Medicine, Sakyo, Kyoto, Japan. shimamo@kuhp.kyoto-u.ac.jp
Marui
Akira
A
Saji
Yoshiaki
Y
Komeda
Masashi
M
D000369:Aged, 80 and over; D000818:Animals; D002315:Cardiopulmonary Bypass; D002417:Cattle; D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000150:complications / Q000473:pathology / Q000601:surgery*; D018618:Echocardiography, Doppler, Color; D005260:Female; D006324:Heart Arrest, Induced; D006801:Humans; D010173:Palpation; D010496:Pericardium / Q000637:transplantation*; D013249:Sternum / Q000601:surgery; D013536:Suture Techniques; D016896:Treatment Outcome; D018658:Ventricular Septal Rupture / Q000150:complications / Q000473:pathology / Q000601:surgery*