Sakakibara Y, Jikuya T, Gomi S, Asakura T, Abe M, Terada Y, Atsumi N, Mitsui T
Department of Surgery, University of Tsukuba, Ibaraki, Japan.
Kyobu Geka. 1994 Oct;47(11):921-3.
Accurate repair of postinfarction ventricular septal perforation (VSP) has mainly depended on the technique for friable septal reinforcement. Modified closure of VSP with Xenomedica patch was performed in 63-year-old male. Friable border of the septum was successfully sandwiched between horse-shoe shape prejett (right side) and main patch (left side). The advantages of this modified surgical procedure are as follows: (1) septum can be seen through horse-shoe shape patch (even when tying the mattress sutures; (2) Xenomedica patch is flexible enough for avoiding the cutting for friable septum, and is strong enough for sandwiching the septum.
