Trans-right ventricular repair of postinfarction ventricular septal rupture: Extended sandwich patch technique

Postinfarction ventricular septal rupture (VSR) is rare but lethal if untreated. Since the first report of surgical repair in 1957 by Cooley et al [1], various repair techniques have been tried, but the surgical outcomes have generally been poor, particularly for patients with deteriorating condition and requiring surgical repair in the very acute period [2 –4], and for patients with posterior type VSR. Reasons for poor outcomes after surgical repair of VSR include preoperative cardiogenic shock, low output syndrome, bleeding from an LV incision and, frequently, shunt recurrence.

Source: Operative Techniques in Cardiac and Thoracic Surgery - August 3, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Tohru Asai, Piers Vigers, Takeshi Kinoshita, Tomoaki Suzuki Tags: Adult Source Type: research