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Related Experiment Video

Updated: Sep 7, 2025

A Hydrogel Construct and Fibrin-based Glue Approach to Deliver Therapeutics in a Murine Myocardial Infarction Model.
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Triple patch technique to repair ventricular septal rupture.

Yuki Okamoto1, Kazuo Yamamoto1, Shinpei Yoshii1

  • 1Department of Cardiovascular Surgery, Tachikawa Medical Center, Nagaoka, Japan.

Annals of Cardiothoracic Surgery
|June 23, 2022
PubMed
Summary

The triple patch technique offers a promising surgical approach for postinfarction ventricular septal rupture (VSR), effectively minimizing residual shunts and improving patient outcomes after myocardial infarction (MI). This method simplifies repair and enhances long-term results.

Keywords:
Postinfarction ventricular septal defect (postinfarction VSD)modified infarct exclusiontriple patch techniqueventricular septal rupture (VSR)

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Area of Science:

  • Cardiovascular Surgery
  • Cardiac Surgery Outcomes
  • Myocardial Infarction Complications

Background:

  • Postinfarction ventricular septal rupture (VSR) is a severe complication of myocardial infarction (MI) with high mortality.
  • Surgical repair of VSR is challenging, and postoperative residual shunts are linked to poor patient outcomes.
  • Limited data exists on the late outcomes of patients with residual shunts after VSR repair.

Purpose of the Study:

  • To present the early and late outcomes of patients undergoing VSR repair using the triple patch technique.
  • To evaluate the effectiveness of the triple patch technique in reducing postoperative residual shunts.
  • To describe the surgical methodology and results of VSR repair via the triple patch technique.

Main Methods:

  • The study involved patients who underwent VSR repair utilizing the triple patch technique.
  • This technique involves placing a patch on the myocardium secured with sutures and glue.
  • The method aims to minimize residual shunts and exclude infarcted myocardial tissue.

Main Results:

  • The triple patch technique demonstrated effectiveness in VSR repair.
  • The technique was associated with a reduction in postoperative residual shunts.
  • Early and late patient outcomes were assessed following the surgical intervention.

Conclusions:

  • The triple patch technique is a simple and effective method for VSR repair.
  • This surgical approach helps minimize residual shunts, potentially improving long-term patient prognosis.
  • The technique offers a viable option for managing this life-threatening complication of myocardial infarction.