Imagawa Hiroshi, Takano Shinnji, Shiozaki Takahiro, Ryugou Masahiro, Shikata Fumiaki, Kawachi Kanji
Organ Regenerative Surgery, Ehime University School of Medicine, Ehime, Japan.
Ann Thorac Surg. 2009 Aug;88(2):692-4. doi: 10.1016/j.athoracsur.2008.11.049.
We describe 4 patients with postinfarction inferoposterior ventricular septal defect treated by the two-patch technique for infarct exclusion operation. The ventricular septal defects were closed using two bovine pericardial patches as follows. The septal patch was sutured to the noninfarcted septum covering the defect, and the free wall patch was sutured to the endocardium adjacent to the posterior papillary muscle. The two patches were sutured together and all infarcted areas were excluded from the left ventricular pressure. This technique seems to be useful in specific circumstances, such as when the ventricular defect is located in the inferoposterior septum.
我们描述了4例梗死后期下后室间隔缺损患者，采用双补片技术进行梗死切除术治疗。室间隔缺损采用两片牛心包补片封闭，方法如下。将间隔补片缝合至覆盖缺损的未梗死间隔，游离壁补片缝合至后乳头肌附近的心内膜。将两片补片缝合在一起，所有梗死区域均被排除在左心室压力之外。这种技术在特定情况下似乎是有用的，例如当室间隔缺损位于下后间隔时。
