Department of Medicine, Duke University Medical Center, Durham, North Carolina 27710, USA.
Ann Thorac Surg. 2010 Jun;89(6):e48-50. doi: 10.1016/j.athoracsur.2010.03.081.
Postinfarction ventricular septal defects (VSDs) are associated with high mortality and typically these are treated urgently with surgery for exclusion patch repair. Percutaneous closure of postinfarction VSDs using occlusion devices is feasible in some patients, but in some cases device deployment may not be possible due to VSD anatomy or valvular apparatus interference. We report the novel technique of deploying Amplatzer VSD devices in the operating room under direct vision through a right atriotomy with and without aortotomy in 2 patients with large inferobasal VSDs after myocardial infarction.
心肌梗死后室间隔缺损（VSD）与高死亡率相关，通常这些 VSD 会紧急采用手术进行修补。对于某些患者，使用封堵装置进行经皮封堵是可行的，但在某些情况下，由于 VSD 解剖结构或瓣叶装置的干扰，可能无法进行器械部署。我们报告了在 2 例急性下壁心肌梗死后出现大型 VSD 的患者中，通过右心房切开术和（或）主动脉切开术，在手术室直视下成功应用 Amplatzer VSD 装置的新技术。
