Modified Daggett’s technique for early repair of postinfarct posterior ventricular septal rupture

Nakajima, Masahiro; Tsuchiya, K; Inoue, Hidenori; Naito, Yuji; Mizutani, Eiki

doi:10.1016/s0003-4975(02)03929-2

Cited by 8 publications

(6 citation statements)

References 6 publications

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“…In previous publications using a patch for the left ventriculotomy, the septal defect and the ventriculotomy defect were repaired separately with their own patches and often in layers [ 1 , 6 , 7 ]. Our technique expedites the process of closing two defects in two layers by employing a single continuous endoventricular patch with a set of transmural mattress sutures (③ and ④ in Fig.…”

Section: Discussionmentioning

confidence: 99%

A modified multi-patch technique for double-layered repair of ischemic posterior ventricular septal rupture

et al. 2018

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BackgroundThe rupture of the posterior ventricular septum after acute inferior myocardial infarction is more challenging to repair than ruptures in other sites since it is less accessible and anatomically restricted. We described a modification of Daggett’s original technique of multi-patch repair of ruptured posterior septum.Case presentationThe technique was employed in the operation of a 67-year-old male who presented with severe heart failure at the 10th day after he developed inferior myocardial infarction. His ventricular septum had ruptured at the level between the posteromedial papillary muscle and the mitral annulus.A large endoventricular patch covered separately over the locally patched septal defect and the ventriculotomy defect which was going to be roofed eventually with an external patch. Both defects were then individually closed in double layers, holding a single continuous patch in common. The common use of a single patch expedited multilayered closure of the left ventricular defects and could minimize geometric remodeling of the covered area. The patches on both the endocardial and the epicardial sides avoided potentially fatal bleeding from the ventriculotomy site. The transmural mattress sutures incorporating ventriculotomy patches required minimal bites toward the posteromedial papillary muscle and mitral annulus, thereby preserving the mitral valve function.ConclusionsThus, the technique enhances the advantage of the left ventriculotomy in the repair of posterior septal rupture and avoids ventriculotomy-related morbidity.

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Section: Discussionmentioning

confidence: 99%

A modified multi-patch technique for double-layered repair of ischemic posterior ventricular septal rupture

et al. 2018

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“…Several techniques involving planar closure of VSP have been reported. These can be divided into 3 types: Daggett’s procedure (2 flat patches are used to close the VSP and the left ventriculotomy); 1,3 the septal exclusion procedure (a large planar patch is fixed to cover the interventricular septum including the VSP); 4,5 and double-patch repair (2 separate flat patches are sutured to the VSP from each side of the ventricles). 6,7 Our modified patch closure is characterized by 2 types of procedure: Daggett’s procedure, and the septal exclusion procedure.…”

Section: Discussionmentioning

confidence: 99%

Double-line closure of anterior postinfarction ventricular septal perforation

Hamamoto

Futagami

2012

Asian Cardiovasc Thorac Ann

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“…12,13) Hirata and colleagues reported an operative mortality rate for the posterior type at 40%, with the cause of death being persistent pump failure. Fatal cases showed both a poor left ventricular function, and A right ventricular infarction inducing a dysfunction of the right ventricle.…”

Section: )mentioning

confidence: 99%

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

Sugimoto

Yoshii

Yamamoto

et al. 2011

ATCS

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We describe a new technique for the early surgical repair of a posterior postinfarction ventricular septal perforation (VSP) in two consecutive female patients. The occurrence of a posterior VSP is rare, and its repair is technically difficult because the posteromedial papillary muscle is located adjacent to the intraventricular septum. This modification appears to prevent leaks to the right ventricle through the VPS with a single direct patch and the use of two equine pericardial patches to form a single endocardial pouch. The women were 77 and 62 years old, and the time between the onset of acute MI and surgery was 3 and 6 days. On preoperative catheterization, Qp/Qs was 4.18 and 4.01. Neither operative death nor residual shunting was observed.

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Modified Daggett’s technique for early repair of postinfarct posterior ventricular septal rupture

Cited by 8 publications

References 6 publications

A modified multi-patch technique for double-layered repair of ischemic posterior ventricular septal rupture

A modified multi-patch technique for double-layered repair of ischemic posterior ventricular septal rupture

Double-line closure of anterior postinfarction ventricular septal perforation

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

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