Total Transmural Sutures (TTS) Method, Modified Infarction Exclusion Technique for Ventricular Septal Rupture after Extensive Myocardial Infarction

Autor:	Keisuke Morimoto, Yoshikazu Fujiwara, Rikuto Nii, Tsuyoshi Sasami, Kunitaka Kumagai
Rok vydání:	2020
Předmět:	medicine.medical_specialty Pericardial patch business.industry Ventricular wall Infarction medicine.disease Surgery Shunt (medical) Ventricular Septal Rupture medicine.anatomical_structure Ventricle cardiovascular system medicine cardiovascular diseases Myocardial infarction business Endocardium
Zdroj:	World Journal of Cardiovascular Surgery. 10:122-130
ISSN:	2164-3210 2164-3202
DOI:	10.4236/wjcs.2020.107015
Popis:	The infarction exclusion technique using endoventricular continuous sutures for ventricular septal rupture after acute myocardial infarction may be a difficult surgical technique and create residual shunt due to fragile myocardium. We present a patient of ventricular septal rupture (VSR) after extensive anteroseptal myocardial infarction who underwent successful repair using a modified infarction exclusion technique. In our procedure interrupted mattress sutures were placed through the ventricular wall in a way as to exclude the VSR and infarcted muscle of the left ventricle. A heterogeneous pericardial patch is sutured to healthy endocardium in the free and septal wall all around the infarcted area. We describe a procedure for repairing postinfarction VSR, by the infarction exclusion technique with total transmural sutures (TTS) method.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::b8ea3804e01aadae41c08620ae372b7a https://doi.org/10.4236/wjcs.2020.107015 Zobrazit plný text záznamu