Rousou J A, Engelman R M, Breyer R H, Whittredge P, Schnider R
Ann Thorac Surg. 1987 Jun;43(6):665-6. doi: 10.1016/s0003-4975(10)60247-0.
Repair of a postinfarction posterior ventricular septal defect generally has been performed by ventriculotomy in the infarct zone. This approach carries a significant mortality and morbidity from hemorrhage, extending infarction, or further compromise of ventricular function secondary to suture placement. A successful transatrial repair of a postinfarction posterior ventricular septal defect is presented. The simplicity of this operation and the patient's rapid recovery contrasted remarkably with the transventricular approach used in previous patients.
心肌梗死后室间隔后下部缺损的修复通常是通过在梗死区域进行心室切开术来完成的。这种方法存在因出血、梗死范围扩大或缝合导致心室功能进一步受损而带来的显著死亡率和发病率。本文介绍了一例成功的经心房修复心肌梗死后室间隔后下部缺损的病例。该手术的简便性以及患者的快速康复与先前患者采用的经心室方法形成了显著对比。
