title: Two-patch technique for postinfarction inferoposterior ventricular septal defect.
abstract: We describe 4 patients with postinfarction inferoposterior ventricular septal defect treated by the two-patch technique for infarct exclusion operation. The ventricular septal defects were closed using two bovine pericardial patches as follows. The septal patch was sutured to the noninfarcted septum covering the defect, and the free wall patch was sutured to the endocardium adjacent to the posterior papillary muscle. The two patches were sutured together and all infarcted areas were excluded from the left ventricular pressure. This technique seems to be useful in specific circumstances, such as when the ventricular defect is located in the inferoposterior septum.
authors.affiliation: Organ Regenerative Surgery, Ehime University School of Medicine, Ehime, Japan. imagawa@m.ehime-u.ac.jp
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Imagawa
authors.forename: Shinnji
authors.initials: S
authors.lastname: Takano
authors.forename: Takahiro
authors.initials: T
authors.lastname: Shiozaki
authors.forename: Masahiro
authors.initials: M
authors.lastname: Ryugou
authors.forename: Fumiaki
authors.initials: F
authors.lastname: Shikata
authors.forename: Kanji
authors.initials: K
authors.lastname: Kawachi
mesh_terms: D000368:Aged; D006348:Cardiac Surgical Procedures / Q000379:methods*; D001026:Coronary Artery Bypass; D005260:Female; D006342:Heart Rupture, Post-Infarction / Q000601:surgery*; D006345:Heart Septal Defects, Ventricular / Q000601:surgery*; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D008297:Male; D008875:Middle Aged; D019736:Prostheses and Implants; D013536:Suture Techniques