Double‐Patch Repair by a Bilateral Ventriculotomy for Postinfarction Ventricular Septal Defect. Issue 2 (3rd December 2013)

• Record Type: Journal Article
• Authors: Iwaki, Ryuma; Nakagiri, Keitaro; Murakami, Hirohisa; Morimoto, Naoto; Yoshida, Masato; Mukohara, Nobuhiko
• Is Part Of: Journal of cardiac surgery. Volume 29:Issue 2(2014:Mar.)
• Page Start: 181
• Page End: 185
• Publication Date: 2013-12-03
• Subjects: Heart -- Surgery -- Periodicals; 617.412005
• DOI: 10.1111/jocs.12262
• Languages: English
• ISSNs: 0886-0440

Abstract

<abstract abstract-type="main" xml:lang="en"> <title>Abstract</title> <sec id="jocs12262-sec-0001" sec-type="section"> <title>Objectives</title> <p>Repair of a postinfarction ventricular septal defect (VSD) is a challenging procedure with a high risk of postoperative residual shunt and subsequent mortality. This retrospective study aimed to assess a modified infarct exclusion technique with a biventricular approach.</p> </sec> <sec id="jocs12262-sec-0002" sec-type="section"> <title>Methods</title> <p>Nineteen consecutive patients who underwent the infarct exclusion procedure for VSD between 2002 and 2011 were reviewed. A biventricular approach (B group: 6 patients) and a left ventricular approach (L group: 13 patients) were studied by univariate analysis.</p> </sec> <sec id="jocs12262-sec-0003" sec-type="section"> <title>Results</title> <p>The overall 30‐day mortality was 15.8%, and was not different between the two groups (p = 0.94). Postoperative residual shunt was not observed in the B group (p = 0.21). The overall five‐year survival rate was 79%, and there were no late deaths in the B group (p = 0.14).</p> </sec> <sec id="jocs12262-sec-0004" sec-type="section"> <title>Conclusion</title> <p>The repair of postinfarction VSD can be safely performed by the infarct exclusion technique with a biventricular approach. This technique seems to reduce surgical mortality and prevents recurrence of the VSD. doi: 10.1111/jocs.12262 <italic>(J Card Surg 2014;29:181–185)</italic></p> </sec> </abstract>