title: A modified infarct exclusion repair of posterior postinfarction ventricular perforation: triple-patch technique for postinfarction ventricular septal perforation in 2 female patients.
abstract: We describe a new technique for the early surgical repair of a posterior postinfarction ventricular septal perforation (VSP) in two consecutive female patients. The occurrence of a posterior VSP is rare, and its repair is technically difficult because the posteromedial papillary muscle is located adjacent to the intraventricular septum. This modification appears to prevent leaks to the right ventricle through the VPS with a single direct patch and the use of two equine pericardial patches to form a single endocardial pouch. The women were 77 and 62 years old, and the time between the onset of acute MI and surgery was 3 and 6 days. On preoperative catheterization, Qp/Qs was 4.18 and 4.01. Neither operative death nor residual shunting was observed.
authors.affiliation: Department of Cardiovascular Surgery, Tachikawa Medical Center, 3-2-11 Kanda-machi, Nagaoka, Niigata, Japan. tsugimoto-cvs@umin.ac.jp
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Sugimoto
authors.forename: Shinpei
authors.initials: S
authors.lastname: Yoshii
authors.forename: Kazuo
authors.initials: K
authors.lastname: Yamamoto
authors.forename: Kouki
authors.initials: K
authors.lastname: Takizawa
authors.forename: Akifumi
authors.initials: A
authors.lastname: Uehara
authors.forename: Masahiro
authors.initials: M
authors.lastname: Satoh
authors.forename: Sigetaka
authors.initials: S
authors.lastname: Kasuya
mesh_terms: D000368:Aged; D000818:Animals; D006328:Cardiac Catheterization; D006348:Cardiac Surgical Procedures; D005260:Female; D006736:Horses; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications*; D010496:Pericardium / Q000637:transplantation*; D013536:Suture Techniques; D016896:Treatment Outcome; D018658:Ventricular Septal Rupture / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*