A Modified Transatrial Approach for Repair of Postinfarction Ventricular Septal Defect

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A successful transatrial repair in redo surgery of postinfarction inferoposterior ventricular septal rupture.

A successful transatrial repair in redo surgery of postinfarction posterior ventricular septal rupture (VSR) was performed after an infarct exclusion technique through left ventriculotomy incision of the infarcted area. For the infarct lesion, this approach provides excellent results with sufficient closure of the VSR and prevention of the ventricular remodeling for five years. A right atrial a...

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Surgical Management of Postinfarction Ventricular Septal Defect

Accessible online at: www.karger.com/journals/hed In this issue of Heart Drug, Prêtre and Turina [1] present a retrospective study of 54 patients operated on for postinfarction ventricular septal defect (VSD) during the period 1979–1998. The treatment protocol applied was based on the principles of early closure, concomitant myocardial revascularization and ventricular remodeling. In the late 1...

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Transatrial Approach for the Repair of the Posterior Post-Infarct Ventricular Septal Rupture.

Ventricular septal rupture (VSR) is a disastrous mechanical complication of myocardial infarction. Although several surgical interventions have been developed, mortality due to surgical management remains high, especially in the case of posterior VSR. We report a successful case of repair of posterior VSR using an alternative transatrial approach to avoid the complications related to ventricula...

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Transatrial Repair of Post-infarction Posterior Ventricular Septal Rupture

Ventricular septal rupture (VSR) is a rare but lethal complication of myocardial infarction. The event occurs 2~8 days after an infarction and often precipitates cardiogenic shock. Post myocardial infarction VSR is known for difficult to repair. Especially, Transmural myocardial infarction involved in the posterior VSD area, exposure of the affected site is difficult and postoperative mortality...

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Surgical management of recurrent postinfarction ventricular septal defect.

A 57 year old man presented with postinfarction ventricular septal infarct (VSD) a week after myocardial infarction and thrombolytic therapy. Coronary angiography confirmed double vessel disease. He underwent surgical repair of the VSD and coronary artery bypass grafting. Two days postoperatively, he deteriorated due to recurrence of VSD. Reoperation was carried out with satisfactory results. T...

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ژورنال

عنوان ژورنال: The Annals of Thoracic Surgery

سال: 2019

ISSN: 0003-4975

DOI: 10.1016/j.athoracsur.2018.08.077