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Repair of Acute Postinfarct Posterior Ventricular Septal Rupture Without Left Ventriculotomy: A Stable Suture Preserving Left Ventricular Geometry
Author(s) -
Alessandrini Francesco,
Canosa Carlo,
De Filippo Carlo Maria,
Nasso Giuseppe,
Spatuzza Paola,
Rossi Marco,
Materazzo Guido
Publication year - 2006
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2006.00179.x
Subject(s) - ventriculotomy , medicine , fibrous joint , cardiology , closure (psychology) , surgery , anatomy , ventricle , market economy , economics
The present article describes the case of a man operated upon for emergency closure of an acute postinfarction defect in the posterior septum. We used a novel technique. The rupture was approached by disconnection of the right ventricular posterior free wall with the exposure of the right side of the septum. First, the edges of the defect were joined together by a single purse‐string pledgetted suture. Then an on‐site tailored double‐folded patch was applied with the aim of closing both the septal defect and the RV access. In our limited experience the technique proved to be safe and effective, allowed optimal exposure of the defect and placement of stable stitches, reducing postoperative complications.