Perforation of the Interventricular Septum in Myocardial Infarction: A Study Based upon an Autopsy Material

Lundberg, Susanne; Söderström, Jan

doi:10.1111/j.0954-6820.1962.tb07174.x

Cited by 64 publications

(11 citation statements)

References 23 publications

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“…1 There was residual shunting in 40% of patients; reoperation in 12% of patients; operative mortality in 35% of patients; and a five-year survival in 45% of patients. The Dagget technique provides excessive strong tension at the suture, and the result is often residual shunting and bleeding.…”

Section: Discussionmentioning

confidence: 91%

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Midterm Results of the ^|^#8220;Sandwich Technique^|^#8221; via a Right Ventricle Incision to Repair Post-Infarction Ventricular Septal Defect

Isoda

Osako

Kimura

et al. 2012

ATCS

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Section: Discussionmentioning

confidence: 91%

“…1,2) Problems of the current surgical techniques are residual shunting, uncontrolled bleeding, and technical difficulty. 3,4) We have developed a new technique to solve these problems.…”

Section: Introductionmentioning

confidence: 99%

Midterm Results of the ^|^#8220;Sandwich Technique^|^#8221; via a Right Ventricle Incision to Repair Post-Infarction Ventricular Septal Defect

Isoda

Osako

Kimura

et al. 2012

ATCS

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“…Postinfarction VSD is a complication seen in approximately 1%-2% of patients with AMI and accounts for about 5% of early deaths following AMI [1,2]. The average time from AMI onset to wall rupture has been reported as between 2 and 4 days, but it may be as short as a few hours or as long as 2 weeks.…”

Section: Discussionmentioning

confidence: 99%

“…Most of the ruptures occur in the free wall of the left ventricle, and these are usually fatal. However, 15%-20% of ruptures occur in the interventricular septum; these are also often fatal unless surgically treated [1][2][3][4]. The incidence of postinfarction ventricular septum defects (VSD) has been significantly reduced with adoption of modern acute revascularization strategies (thrombolytic therapy and percutaneous coronary interventions); currently, it is 0.2% (4_7183.pdf 1).…”

Section: Introductionmentioning

confidence: 99%

Delayed closure of postinfarction ventricular septum defect in a patient with single vessel disease

Kovačević¹,

Velicki²,

Vujin³

2013

Open Medicine

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AbstractA 65-year-old patient with a systolic murmur that developed five days after acute anteroseptal myocardial infarction was referred to our Institution. He had previously been treated with fibrinolytic therapy. The patient was in a stable hemodynamic condition when admitted, with sustained diuresis. Blood gas analysis revealed normal parameters, whereas a chest X-ray showed signs of pulmonary congestion. Transthoracic echocardiography revealed a 1.5×1.2 cm post-infarction ventricular septum defect (VSD) in the apical part of the septum. Because the patient’s hemodynamic conditions were stable, we decided to postpone the operative treatment to allow scarring of the infarcted area to make VSD repair feasible, thereby increasing the chance for success. Operative treatment was performed three weeks after admission. We performed closure of the VSD with a bovine pericardial patch. The patient was discharged in good condition and remained well three months after the surgery.

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“…Postinfarction ventricular septal perforation (VSP) remains a serious complication of myocardial infarction (MI); it occurs in approximately 1 to 2% of all cases, 1) which is often fatal unless treated surgically. Despite numerous improvements in the surgical technique, the mortality rate remains at about 19%-40%.…”

Section: Introductionmentioning

confidence: 99%

A Modified Infarct Exclusion Repair of Posterior Postinfarction Ventricular Perforation: Triple-patch Technique for Postinfarction Ventricular Septal Perforation in 2 Female Patients

Sugimoto

Yoshii

Yamamoto

et al. 2011

ATCS

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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.

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Perforation of the Interventricular Septum in Myocardial Infarction: A Study Based upon an Autopsy Material

Cited by 64 publications

References 23 publications

Midterm Results of the ^|^#8220;Sandwich Technique^|^#8221; via a Right Ventricle Incision to Repair Post-Infarction Ventricular Septal Defect

Midterm Results of the ^|^#8220;Sandwich Technique^|^#8221; via a Right Ventricle Incision to Repair Post-Infarction Ventricular Septal Defect

Delayed closure of postinfarction ventricular septum defect in a patient with single vessel disease

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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