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Ann Thorac Surg 2000;70:273-274
© 2000 The Society of Thoracic Surgeons

Case report

Entire septal patch technique for postinfarction ventricular septal rupture

Toshiaki lto, MDa, Hiroaki Hagiwara, MDa, Atsuo Maekawa, MDa

a Department of Cardiovascular Surgery, Japanese Red Cross, Nagoya First Hospital, Nagoya, Japan

Address reprint requests to Dr Ito, Department of Cardiovascular Surgery, Japanese Red Cross, Nagoya First Hospital, 3-35 Michishita-cho, Nakamura, Nagoya, 453-8511, Japan
e-mail: toshi-i{at}sannet.ne.jp

Postinfarction ventricular septal rupture is still a surgically challenging situation with high operative mortality. We report a case of ventricular septal rupture in a 75-year-old woman successfully treated with our newly devised technique, in which a pliable large septal path is fixed with transmural sutures placed in posterior left ventricular free wall and anterior ventriculotomy closing sutures, thus covering the septal wall almost entirely. Our method may simplify the operation and reduce the risk of residual leakage.


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Invited commentary
Willard M. Daggett
Ann. Thorac. Surg. 2000 70: 274-275. [Extract] [Full Text] [PDF]





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