Use of a patch technique to repair post myocardial infarction ventricular septal defect

Saxena, Pankaj, Graw, Genevieve, and Yadav, Sumit (2016) Use of a patch technique to repair post myocardial infarction ventricular septal defect. Indian Journal Of Thoracic And Cardiovascular Surgery, 32 (4). pp. 263-265.

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Abstract

Repair of post myocardial infarction ventricular septal defect is complex due to impaired bi-ventricular function, heart failure, cardiogenic shock, poor anatomic delineation of septal defect and poor quality myocardial tissue. We describe a technique that places a patch with pledgets on the right ventricular aspect of the defect. Appropriate resection of anterior wall of left ventricle is done. A large bovine pericardial patch is used to reinforce the ventriculotomy with sutures taken from inside the left ventricle from the relatively healthy area of the endocardium, marking the junction of infarcted and non-infarcted areas. The current technique may also facilitate the remodelling of the left ventricle.

Item ID: 47043
Item Type: Article (Case Study)
ISSN: 0973-7723
Keywords: myocardial infarction, ventricular septal defect, cardiac failure
Date Deposited: 01 Feb 2017 07:31
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1102 Cardiovascular Medicine and Haematology > 110201 Cardiology (incl Cardiovascular Diseases) @ 100%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920103 Cardiovascular System and Diseases @ 100%
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