Umeda Yukio, Imaizumi Matsuhisa, Okada Waichiro, Yokoya Hirokazu, Tanaka Tsuneo
Department of Cardiovascular Surgery, Toyohashi Medical Center, Toyohashi, Japan.
Kyobu Geka. 2011 Nov;64(12):1052-5.
We report a case in which the double-patch technique was used to repair residual shunt after infarct exclusion technique for post-infarction ventricular septal perforation (VSP). A 68-year-old man was diagnosed with post-infarction VSP and surgical interveniton was performed by infarct exclusion technique through left ventriculotomy. Residual shunt was observed by left ventriculography, and he developed cardiac failure in spite of medical therapy. Additional surgery for residual shunt was performed 5 months after the initial operation. The VSP was closed with 2 pericardial patches onto both sides of the septum through right ventriculotomy. Complete closure of the defect was accomplished, and no residual shunt was observed by post-operative left ventriculography. The patient has been doing well with no signs of cardiac failure.
我们报告了一例采用双补片技术修复心肌梗死后室间隔穿孔（VSP）梗死灶切除术术后残余分流的病例。一名68岁男性被诊断为心肌梗死后VSP，通过左心室切开术采用梗死灶切除术进行手术干预。左心室造影观察到残余分流，尽管进行了药物治疗，他仍出现心力衰竭。在初次手术后5个月对残余分流进行了再次手术。通过右心室切开术在室间隔两侧用2片心包补片封闭VSP。缺损完全闭合，术后左心室造影未观察到残余分流。患者情况良好，无心力衰竭迹象。
