Related Experiment Videos
[Surgical repair of postinfarction ventricular septal perforation by endocardial patch with infarction exclusion]
T Tanaka1, M Hashimoto, N Ishida
1Department of Cardiovascular Surgery, National Toyohashi Higashi Hospital, Toyohashi, Japan.
Unlabelled:
We evaluated the surgical results of postinfarction ventricular septal perforation by endocardial patch with infarction exclusion.
Materials And Methods:
We reviewed 8 patients complicating AMI who underwent surgical treatment at our institution from July 1997 to August 2000 (6 males, 2 females, mean age 73.9 +/- 9, range 57-87). The localization of AMI and VSP was anterior in 6 patients, inferior in 2. All patients had coronary angiography preoperatively. And 7 patients had the percutaneous transluminal coronary angioplasty of the infarct artery.
Results:
There were 2 hospital deaths due to cerebral infarction and pulmonary hemorrhage. All deaths occurred in patients with cardiogenic shock.
Conclusion:
Good results were obtained by infarction exclusion technique. Better operative results may be expected with the preoperative coronary angioplasty of the infarct artery.