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Ann Thorac Surg 1996;61:1816-1817
© 1996 The Society of Thoracic Surgeons

Case Report

Repair of Postinfarction Ventricular Septal Defect on a Beating Heart

Toshiki Takahashi, MD, Keishi Kadoba, MD, Kazuhiro Taniguchi, MD, Yoshiki Sawa, MD, Hiroshi Imagawa, MD, Takafumi Masai, MD, Hikaru Matsuda, MD

First Department of Surgery, Osaka University, Medical School, Osaka, Japan

Accepted for publication November 9, 1995.

Two elderly patients with postinfarction ventricular septal defect underwent repair by endocardial patch with infarct exclusion on a beating heart under normothermic cardiopulmonary bypass with ultra–short-acting ß-blocker infusion. Their hemodynamic states soon recovered, and postoperative angiographic studies showed improvement of cardiac function and no residual shunt. Ultra–short-acting ß-blocker has the potential to facilitate safe repair of postinfarction ventricular septal defect on a beating heart, and this operative approach can be beneficial for myocardial protection.




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