The triple-layer patch technique for post-infarction ventricular septal rupture

Ann Thorac Surg. 2021 Mar 18:S0003-4975(21)00522-1. doi: 10.1016/j.athoracsur.2021.02.086. Online ahead of print.ABSTRACTPost-infarction ventricular-septal-rupture (VSR) represents a well-known mechanical complication of myocardial infarction, determining cardiogenic shock with high mortality rates. Surgical correction requires significant expertise to avoid cardiac rupture, uncontrollable bleeding, residual shunts, heart failure and death. In the last year, we observed a substantial increase of VSR at our hospital, related to the delayed presentation of people with acute chest pain to the emergency departments during the COVID-19 pandemic. We discuss our innovative triple-layer patch technique in a recent consecutive series of 8 patients. This technique proved effective in all cases with no residual shunt or cardiac rupture.PMID:33745902 | DOI:10.1016/j.athoracsur.2021.02.086

Source: The Annals of Thoracic Surgery - March 22, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Davide Pacini Antonino Costantino Mariafrancesca Fiorentino Antonino Loforte Alessandro Leone Luca Botta Source Type: research