Berrizbeitia L D, McGrath L B
UMDNJ--Robert Wood Johnson Medical School, New Brunswick, USA.
J Card Surg. 1996 Jan-Feb;11(1):71-4. doi: 10.1111/j.1540-8191.1996.tb00013.x.
The right atrial approach for repair of ventricular septal rupture associated with myocardial infarction is an alternative technique to the conventional approach of exposing the septum through the left ventricle. This technique may be combined with mitral valve replacement, infarct excision, or aneurysm resection, by avoiding a direct incision in the ventricle reduce postrepair bleeding and impairment of ventricular contractile function. We present a case of ventricular septal rupture repaired through the right atrium and review our surgical technique. This technique may be applied to most cases of ventricular septal rupture, and is particularly useful when the ventricular wall is not infarcted or aneurysmal, and the defect involves the central portion of the muscular septum, the inlet septum, and the subaortic and membranous area.
经右心房途径修复心肌梗死相关的室间隔破裂是一种替代传统经左心室暴露室间隔的技术。该技术可与二尖瓣置换、梗死灶切除或动脉瘤切除相结合，通过避免在心室直接切口来减少修复后出血和心室收缩功能受损。我们展示了一例经右心房修复室间隔破裂的病例并回顾了我们的手术技术。该技术可应用于大多数室间隔破裂病例，尤其适用于心室壁未梗死或形成动脉瘤，且缺损累及肌性室间隔中央部分、流入道间隔以及主动脉下和膜周区域的情况。
