title: New infarct exclusion repair using cohesive double-patch closer.
abstract: Ventricular septal perforation (VSP) is a serious complication of acute myocardial infarction despite improved procedures for closing the ventricular septal wall defect and/or excluding the infarct. The patient in the present case had VSP after posterior wall infarction and was treated successfully with a new and simple procedure that used a double-patch closure combined with an infarct exclusion technique. The left ventricular patch was attached cohesively to the septal wall and the infarcted area was excluded without reducing the left ventricular cavity.
authors.affiliation: Department of Surgery, Division of Clinical Medical Science, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan. shiny@mte.biglobe.ne.jp
authors.forename: Shinya
authors.initials: S
authors.lastname: Takahashi
authors.forename: Naomichi
authors.initials: N
authors.lastname: Uchida
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Imai
authors.forename: Taijiro
authors.initials: T
authors.lastname: Sueda
mesh_terms: D000368:Aged; D006328:Cardiac Catheterization; D006348:Cardiac Surgical Procedures / Q000379:methods*; D003937:Diagnosis, Differential; D015150:Echocardiography, Doppler; D004562:Electrocardiography; D004867:Equipment Design; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications / Q000175:diagnosis*; D013536:Suture Techniques / Q000295:instrumentation*; D018658:Ventricular Septal Rupture / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*