title: Left ventricular external buttress technique for repair of ventricular septal perforation†.
abstract: Because of the difficulty in placing a suture-supporting extension to a non-infarcted area, ventricular septal perforation repair in the presence of large myocardial infarctions can give rise to life-threatening tears or ruptures of the left ventricular free wall. We report a case of successful reinforcement of an infarction area from outside of the left ventricle using a large, thick polytetrafluoroethylene felt patch. After surgery, the patient was weaned from cardiopulmonary bypass without difficulty. Postoperative echocardiography revealed no residual shunting and he was alive without complications 3 years after surgery.
authors.affiliation: Department of Cardiovascular Surgery, National Hospital Organization Saitama National Hospital, Wako City, Saitama, Japan hyshhime@me.point.ne.jp.
authors.forename: Ichiro
authors.initials: I
authors.lastname: Hayashi
authors.affiliation: Department of Cardiovascular Surgery, National Hospital Organization Saitama National Hospital, Wako City, Saitama, Japan.
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Kasahara
authors.affiliation: Department of Cardiovascular Surgery, National Hospital Organization Saitama National Hospital, Wako City, Saitama, Japan.
authors.forename: Keiko
authors.initials: K
authors.lastname: Abe
authors.affiliation: Department of Cardiovascular Surgery, National Hospital Organization Saitama National Hospital, Wako City, Saitama, Japan.
authors.forename: Norimasa
authors.initials: N
authors.lastname: Haijima
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods*; D002315:Cardiopulmonary Bypass; D018618:Echocardiography, Doppler, Color; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications* / Q000175:diagnosis; D013536:Suture Techniques; D016896:Treatment Outcome; D018658:Ventricular Septal Rupture / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*
keywords: Cardiac surgery; Myocardial infarction; Ventricular septal perforation