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Transatrial repair of post-infarction ventricular septal defect

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Abstract

A 72-year-old woman presented with a post-infarction ventricular septal defect, presumably within 10 days after the onset of acute myocardial infarction. An emergency surgery was performed because of hemodynamic instability. Using the sandwich patch technique, we approached the posteriorly oriented defect through a right atriotomy and detached tricuspid valve. By avoiding either left or right ventriculotomy, additional damage to the already infarcted ventricle and risk of bleeding were avoided. The patient showed an uneventful postoperative recovery, with no residual shunt detected. A transatrial approach combined with a sandwich patch technique is a good alternative in cases where the pathological anatomy is suitable.

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Hirakata Kosai Hospital, Osaka, Japan

    Takanori Tokuda & Kazushige Inoue

  2. Department of Cardiovascular Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan

    Takashi Murakami

Authors
  1. Takanori Tokuda
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  2. Kazushige Inoue
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  3. Takashi Murakami
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Correspondence to Takashi Murakami.

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Tokuda, T., Inoue, K. & Murakami, T. Transatrial repair of post-infarction ventricular septal defect. Gen Thorac Cardiovasc Surg 66, 573–576 (2018). https://doi.org/10.1007/s11748-018-0887-0

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  • DOI: https://doi.org/10.1007/s11748-018-0887-0

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