Department of Adult Cardiac Surgery, G. Pasquinucci Heart Hospital, Gabriele Monasterio Foundation, Massa, Italy.
Eur J Cardiothorac Surg. 2013 Jan;43(1):184-6. doi: 10.1093/ejcts/ezs401. Epub 2012 Jul 10.
Ventricular septal defect, a potentially deadly complication of transmural myocardial infarction, is often accompanied by ischaemic mitral regurgitation. It has been recognized that the presence and persistence of the latter negatively affect survival rates in patients after myocardial infarction. We present a simple endoventricular edge-to-edge technique of mitral repair using a single U-shaped stitch of polytetrafluoroethylene and a refined double-patch 'exclusion' technique of postinfarction interventricular septal defect (PVSD) closure in the treatment of two consecutive cases of PVSD and concomitant ischaemic mitral regurgitation. This technique is effective and reproducible to address mitral incompetence in patients undergoing surgical correction of PVSD.
室间隔缺损是透壁性心肌梗死的一种潜在致命并发症，常伴有缺血性二尖瓣反流。人们已经认识到，后者的存在和持续存在会对心肌梗死后患者的生存率产生负面影响。我们介绍了一种使用单个聚四氟乙烯 U 形缝线和改良的双补丁“排除”技术治疗连续两例室间隔缺损（PVSD）和并发缺血性二尖瓣反流的简单心室内缘对缘二尖瓣修复技术。该技术在手术矫正 PVSD 的患者中治疗二尖瓣关闭不全是有效且可重复的。
