A Modified Infarct Exclusion Repair of Posterior Postinfarction Ventricular Perforation: Triple-patch Technique for Postinfarction Ventricular Septal Perforation in 2 Female Patients

Sugimoto, Tsutomu; Yoshii, Shinpei; Yamamoto, Kazuo; Takizawa, Kouki; Uehara, Akifumi; Satoh, Masahiro; Kasuya, S

doi:10.5761/atcs.cr.09.01492

Cited by 7 publications

(10 citation statements)

References 13 publications

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“…After surgeries, all patients recovered from shock and the During the 2000s, some surgeons combined an infarct exclusion technique and a double patch technique, [11][12][13] and we have done the same. Sugimoto, et al 13) have reported such a technique using three pericardial patches, which was performed successfully for not only anterior but also posterior VSP. The combination of both the techniques is thought to be an ideal strategy for acute VSP, although further experience is needed to verify its efficacy.…”

Section: Resultsmentioning

confidence: 99%

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Flat and Conic Patches for Acute Ventricular Septal Perforation

et al. 2013

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Section: Resultsmentioning

confidence: 99%

“…The latter were made from large bovine pericardium and sewed into a cylindrical state first, and then later sewed up into a conic state. Sugimoto, et al 13) had devised two pericardial patches to create such a three-dimensional pouch. In the first case (Fig.…”

Section: Resultsmentioning

confidence: 99%

Flat and Conic Patches for Acute Ventricular Septal Perforation

et al. 2013

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“…Many biological and biosynthetic materials have been already studied as replacement of the abdominal wall 15 . Although routinely used in cardiothoracic and vascular surgery, neurosurgery, plastic surgery and orthopaedics [20][21][22][23][24][25][26][27]40,41 , equine pericardium has never been employed in bridging repair of the abdominal wall, perhaps because of described complications in other fields of employment likely related to host tissue reactions leading to degradation and leak 24 or fibrosis and shrinkage 41 .…”

Section: Discussionmentioning

confidence: 99%

“…The first experimental report about the use of the equine pericardium dates back to about forty years ago 20 . Since then, it has been used mainly in cardiothoracic and vascular surgery 21,22 , but also in neurosurgery 23,24 , orthopaedics 25 and plastic surgery 26,27 . A literature survey did not reveal studies devoted to the use of equine pericardium in the abdominal wall repair.…”

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confidence: 99%

Bridging repair of the abdominal wall in a rat experimental model. Comparison between uncoated and polyethylene oxide-coated equine pericardium meshes

Pasculli

Gurrado

Luca

et al. 2020

Sci Rep

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Biological meshes improve the outcome of incisional hernia repairs in infected fields but often lead to recurrence after bridging techniques. Sixty male Wistar rats undergoing the excision of an abdominal wall portion and bridging mesh repair were randomised in two groups: Group A (n = 30) using the uncoated equine pericardium mesh; Group B (n = 30) using the polyethylene oxide (PEO)-coated one. No deaths were observed during treatment. Shrinkage was significantly less common in A than in B (3% vs 53%, P < 0.001). Adhesions were the most common complication and resulted significantly higher after 90 days in B than in A (90% vs 30%, P < 0.01). Microscopic examination revealed significantly (p < 0.05) higher mesh integrity, fibrosis and calcification in B compared to A. The enzymatic degradation, as assessed with Raman spectroscopy and enzyme stability test, affected A more than B. the peo-coated equine pericardium mesh showed higher resistance to biodegradation compared to the uncoated one. Understanding the changes of these prostheses in a surgical setting may help to optimize the peo-coating in designing new biomaterials for the bridging repair of the abdominal wall. Incisional hernia affects 10-20% of laparotomies and represents the most common long-term complication after abdominal surgery 1-3. Since their first description by Usher et al. in 1985 4 , synthetic prostheses significantly reduced recurrence rate after the first incisional hernia repair, from more than 20% to less than 10% 5,6. Nevertheless, they are commonly contraindicated in situations in which the exposure to any additional bacterial burden constitutes an excessive risk of surgical site infection 7,8. According to the Ventral Hernia Working Group (VHWG), incisional hernias which are at high risk of surgical site occurrences, because of comorbidities or contamination/infection of the operative field, should be treated using biological meshes; this should also be recommended in those cases in which the complete rectus closure is not possible and bridging technique is unavoidable 9. Although some controversies arose about the influence of technique in determining the surgical site occurrences 10 , and other authors designed and validated other scores 11,12 , VHWG recommendations appear to be still the most reliable guidelines available in the

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“…We adopted the double patch technique in 6 cases (85.7%) 30,31 (vide Figure No.2) and an extra patch in I case (concomitant repair of the LV aneurysm). The incidence of post-operative residual shunt was 0% comparable to the incidence of 24 to 26% described in other series in which a variety of techniques were used.…”

Section: Techniques Of Patch Closurementioning

confidence: 99%

Outcome Analysis After Surgical Management of Ventricular Septal Defect Complicating Acute Myocardial Infarction

Dasbaksi¹,

Haldar²,

Hossain³

et al. 2019

IJCMR

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Introduction: Surgical approaches to closure of post myocardial infarction ventricular septal defect (PIVSD) are associated with high morbidity and mortality. Timing of intervention for its closure remains controversial. Several studies advocate early operative intervention, after diagnosis of PIVSD but these are associated with high mortality. However, the strategy of delayed closure around 14 to 20 days or higher has been advocated in certain subsets of patients who can be stabilized from cardiogenic shock (CS) with pharmacological means with or without temporary mechanical circulatory support (tMCS). This helps to allow tissue fibrosis around PIVSD which increases the chance of operative success. Results of 5 such patients in whom surgery was moderately delayed, and 2 in whom early operation were performed are reported in this paper. Material and methods: Between May 2012 to April 2016, 7 consecutive patients of PIVSD had operative closure under cardio pulmonary bypass in our hospital. 5 patients had diuretic and inotrope responsive CS and had delayed closure of PIVSD within 12 to 20 days, while 2 with severe CS, who were supported preoperatively with tMCS like intra aortic balloon pump (IABP), had early closure within 72 hours. Patient data of these seven subjects were retrospectively collected, and the current status of the survivors was ascertained by out patient follow up. Results: 4 of 5 patients from delayed surgery group with small PIVSD survived while 1 patient had early mortality due to severe right ventricular dysfunction post operatively resulting in LCOS. 1 patient out of the 2 early surgery group with a large PIVSD survived while the other patient with a small PIVSD and an extensive MI had early post operative mortality. 1 had from late surgery group had delayed mortality after 3 years. 4 patients are living at present. Conclusion: We advocate delayed elective repair of PIVSD, in patients with CS who responded to aggressive conservative management maintaining hemodynamic stability, to allow inflammatory state to subside. In those patients with severe CS, additional rescue therapy with temporary mechanical circulatory support is needed to prevent further deterioration of systemic perfusion. If the severe CS is due to high left to right shunt rather than infarct size, prognosis after repair of PIVSD is better than in patients with CS due to extensive myocardial damage.

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A Modified Infarct Exclusion Repair of Posterior Postinfarction Ventricular Perforation: Triple-patch Technique for Postinfarction Ventricular Septal Perforation in 2 Female Patients

Cited by 7 publications

References 13 publications

Flat and Conic Patches for Acute Ventricular Septal Perforation

Flat and Conic Patches for Acute Ventricular Septal Perforation

Bridging repair of the abdominal wall in a rat experimental model. Comparison between uncoated and polyethylene oxide-coated equine pericardium meshes

Outcome Analysis After Surgical Management of Ventricular Septal Defect Complicating Acute Myocardial Infarction

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