Takemoto Sho, Sonoda Hiromichi, Tanoue Yoshihisa, Ushijima Tomoki, Shiose Akira
Department of Cardiovascular Surgery, Kyushu University Hospital, Fukuoka, Japan.
Ann Thorac Surg Short Rep. 2023 Mar 5;1(2):354-357. doi: 10.1016/j.atssr.2023.02.018. eCollection 2023 Jun.
We report a total reconstruction of the interventricular septum for infected patches collapsing after repair of a postinfarction ventricular septal rupture (VSR). Patch infection developed after double-patch repair of a VSR in a 56-year-old man. He underwent extensive débridement of the patches and almost all the remaining interventricular septum, resulting in a single ventricle. We performed biventricular reconstruction using 2 patches, tricuspid valve replacement, and pacemaker implantation. Our method can provide reliable biventricular reconstruction even if it becomes a single ventricle by débridement. It can be helpful as a lifesaving operation to repair postinfarction VSR with fatal infection.
我们报告了一例对心肌梗死后室间隔破裂（VSR）修复后因感染补片塌陷而进行的室间隔完全重建。一名56岁男性在VSR双补片修复后发生补片感染。他接受了补片及几乎所有剩余室间隔的广泛清创，导致单心室形成。我们使用2个补片进行了双心室重建、三尖瓣置换及起搏器植入。我们的方法即使在因清创导致单心室的情况下也能提供可靠的双心室重建。对于修复伴有致命感染的心肌梗死后VSR，作为一种挽救生命的手术可能会有帮助。
