Surgical repair of postinfarction ventricular septal perforation by endocardial patch with infarction exclusion
Tanaka, T.; Hashimoto, M.; Ishida, N.; Manabe, H.; Matsumoto, K.
Kyobu Geka. Japanese Journal of Thoracic Surgery 54(13): 1112-1114
2001
ISSN/ISBN: 0021-5252 PMID: 11761895 Document Number: 534420
We evaluated the surgical results of postinfarction ventricular septal perforation by endocardial patch with infarction exclusion. 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. There were 2 hospital deaths due to cerebral infarction and pulmonary hemorrhage. All deaths occurred in patients with cardiogenic shock. Good results were obtained by infarction exclusion technique. Better operative results may be expected with the preoperative coronary angioplasty of the infarct artery.