Off-pump repair of a post-infarct ventricular septal defect: the 'Hamburger procedure'

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Off-pump repair of a post-infarct ventricular septal defect: the 'Hamburger procedure'

We report a novel off-pump technique for the surgical closure of post-infarct ventricular septal defects (VSDs). The case report describes the peri-operative management of a 76 year old lady who underwent the 'Hamburger procedure' for closure of her apical VSD. Refractory cardiogenic shock meant that traditional patch repairs requiring cardiopulmonary bypass would be poorly tolerated. We show t...

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Off-Pump Repair of a Post Myocardial Infarction Ventricular Septal Defect

Refractory cardiogenic shock meant that traditional patch repairs requiring cardiopulmonary bypass would be poorly tolerated and external sandwich closure of post myocardial ventricular septal defect (VSD) appears to be simple and effective after initial myocardial infarction (MI). The three cases presented with a VSD after of acute MI with or without thrombolysed with streptokinase during pati...

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Post-infarct ventricular septal defect following thrombolytic intracranial bleed.

Mechanical complications after myocardial infarction are uncommon with advances in medical reperfusion strategies. However, such strategies are associated with bleeding complications which typically contraindicate surgical management. We describe a patient with a post-infarction ventricular septal defect and an intraventricular hemorrhage following thrombolytic therapy for an acute myocardial i...

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The effectiveness of extracorporeal membrane oxygenation in a patient with post myocardial infarct ventricular septal defect

BACKGROUND Post infarction ventricular septal defect (VSD) is an uncommon but life threatening complication of acute myocardial infarction. CASE PRESENTATION A 62-year-old woman was admitted with acute myocardial infarction (AMI). However, the day after angioplasty and stenting, Transthoracic echocardiography (TTE) showed post infarction VSD. We decided to insert an extracorporeal membrane ox...

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A modified infarct exclusion technique for a post-infarction ventricular septal defect.

BACKGROUND Operative mortality for a post-infarction ventricular septal defect (VSD) remains high. The infarct exclusion technique has been producing a favorable outcome for repairing this serious defect. However, there is the technical weakness, namely running suture along the base of the necrotic septum. We sutured a pericardial patch using multiple interrupted mattress sutures in such a mann...

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ژورنال

عنوان ژورنال: Journal of Cardiothoracic Surgery

سال: 2006

ISSN: 1749-8090

DOI: 10.1186/1749-8090-1-10