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

• 作者: Rikuto Nii
• 来源期刊: 心血管外科国际期刊(英文)
• 学科: 医学
• 关键词: Infarction Exclusion Technique Ventricular Septal Rupture Myocardial Infarction
• 年，卷（期）: 2020,（7）
• 页码范围: 122-130
• 页数: 9页
• 分类号: R54

摘要

<span style="font-family:Verdana;">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 mod</span><span>ified infarction exclusion technique. In our procedure interrupted mattre</span><span style="font-family:Verdana;">ss 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.</span>