Skip to main content
SpringerLink
Log in

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

  • Case report
  • Published:
Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Yip HK, Fang CY, Tsai KT, et al. The potential impact of primary percutaneous coronary intervention on ventricular septal rupture complicating acute myocardial infarction. Chest. 2004;125:1622–8.

    Article  PubMed  Google Scholar 

  2. Nakatani D, Sato H, Kinjo K, et al. Effect of successful late reperfusion by primary coronary angioplasty on mechanical complications of acute myocardial infarction. Am J Cardiol. 2003;92:785–8.

    Article  PubMed  Google Scholar 

  3. Daggett WM, Guyton RA, Mundth ED, et al. Surgery for post-myocardial infarct ventricular septal defect. Ann Surg. 1977;186:260–71.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. David TE, Armstrong S. Surgical repair of postinfarction ventricular defect by infarct exclusion. Semin Thorac Cardiovasc Surg. 1998;10:105–10.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Cardiothoracic Surgery, The Townsville Hospital, James Cook University, 100 Angus Smith Drive, Douglas, 4814, Australia

    Pankaj Saxena, Genevieve Graw & Sumit Yadav

  2. James Cook University, Townsville, Australia

    Pankaj Saxena, Genevieve Graw & Sumit Yadav

Authors
  1. Pankaj Saxena
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Genevieve Graw
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Sumit Yadav
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Pankaj Saxena.

Ethics declarations

This study was not funded by any institution. All procedures performed in this study were in accordance with ethical standards of the institutional and/or the national research committee and with the 1984 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from the patient for the publication of the clinical information.

Conflict of interest

The authors declare that they have no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Saxena, P., Graw, G. & Yadav, S. Use of a patch technique to repair post myocardial infarction ventricular septal defect. Indian J Thorac Cardiovasc Surg 32, 263–265 (2016). https://doi.org/10.1007/s12055-016-0455-0

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12055-016-0455-0

Keywords

Search

Navigation