Surgical Repair of Postinfarction Ventricular Septal Defects—2013 Update

Susumu Isoda; Motohiko Osako; Tamizo Kimura; Kenji Nishimura; Nozomu Yamanaka; Shingo Nakamura; Tadaaki Maehara

doi:10.5761/atcs.ra.12.02201

Review Article

Surgical Repair of Postinfarction Ventricular Septal Defects—2013 Update

Susumu Isoda, Motohiko Osako, Tamizo Kimura, Kenji Nishimura, Nozomu Yamanaka, Shingo Nakamura, Tadaaki Maehara

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Keywords: postinfarction ventricular defect, infarctectomy, infarct exclusion, septal exclusion, sandwich technique

JOURNAL FREE ACCESS

2013 Volume 19 Issue 2 Pages 95-102

DOI https://doi.org/10.5761/atcs.ra.12.02201

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Abstract

Treatment for postinfarction ventricular septal defect has been improving for several decades. Aggressive resection of the infarcted myocardium (infarctectomy and closure technique) and preserving infarcted myocardium (infarct exclusion technique) have been technically modified. Recent improvement includes use of surgical glue, using an additional patch for infarct exclusion, septal exclusion, sandwich technique via right or left ventricular approach, and endovascular repair. This field still has room for cardiac surgeons to improve surgical strategy and technique.

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