title: Simple geometrical infarct exclusion technique with a single patch for postinfarction ventricular septal perforation.
abstract: Six consecutive patients underwent emergency surgical repair of a postinfarction ventricular septal perforation. The principle of this technique is a simple three-dimensional repair with a nontailored square patch beforehand, which provides an adequate-sized pouch and prevents dehiscence of the patch being caused by excessive tension on the suture line. It also prevents a residual shunt. A single equine pericardium was sutured to the viable muscle circumferentially around the infarcted area to be excluded, after which the free edge of the patch was tailored and sutured in a pouch configuration. This technique seems to provide satisfactory early results in the acute phase of myocardial infarction.
authors.affiliation: Department of Surgery and Clinical Science, Division of Cardiac Surgery, Yamaguchi University, Graduate School of Medicine, Yamaguchi, Japan.
authors.forename: Toshiro
authors.initials: T
authors.lastname: Kobayashi
authors.forename: Akihito
authors.initials: A
authors.lastname: Mikamo
authors.forename: Ryo
authors.initials: R
authors.lastname: Suzuki
authors.forename: Masanori
authors.initials: M
authors.lastname: Murakami
authors.forename: Bungo
authors.initials: B
authors.lastname: Shirasawa
authors.forename: Kimikazu
authors.initials: K
authors.lastname: Hamano
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D006348:Cardiac Surgical Procedures / Q000379:methods; D005260:Female; D006342:Heart Rupture, Post-Infarction / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019736:Prostheses and Implants