A Modified Infarct Exclusion Repair of Posterior Postinfarction Ventricular Perforation : Triple-patch Technique for Postinfarction Ventricular Septal Perforation in 2 Female Patients
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概要
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We describe a new technique for the early surgical repair of a posterior postinfarction ventricular septal perforation (VSP) in two consecutive female patients. The occurrence of a posterior VSP is rare, and its repair is technically difficult because the posteromedial papillary muscle is located adjacent to the intraventricular septum. This modification appears to prevent leaks to the right ventricle through the VPS with a single direct patch and the use of two equine pericardial patches to form a single endocardial pouch. The women were 77 and 62 years old, and the time between the onset of acute MI and surgery was 3 and 6 days. On preoperative catheterization, Qp/Qs was 4.18 and 4.01. Neither operative death nor residual shunting was observed.
- 2011-02-01
著者
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Kasuya Shigetaka
Department Of Cardiovascular Surgery Tachikawa Medical Center
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Yoshii Shinpei
Department Of Cardiovascular Surgery Tachikawa Medical Center
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UEHARA Akifumi
Department of Cardiovascular Surgery, Tachikawa Medical Center
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Yamamoto Kazuo
Department Of Biomolecular Sciences Graduate School Of Life Sciences Tohoku University
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Uehara Akifumi
Department Of Cardiovascular Surgery Tachikawa Medical Center
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Sugimoto Tsutomu
Department Of Cardiovascular Surgery Tachikawa Medical Center
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Satoh Masahiro
Department Of Cardiovascular Surgery Tachikawa Medical Center
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TAKIZAWA Kouki
Department of Cardiovascular Surgery, Tachikawa Medical Center
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KASUYA Sigetaka
Department of Cardiovascular Surgery, Tachikawa Medical Center
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Kasuya Sigetaka
Department Of Cardiovascular Surgery Tachikawa Medical Center
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Takizawa Kouki
Department Of Cardiovascular Surgery Tachikawa Medical Center
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