New surgical technique for repair of ventricular septal perforation

Matsuda, Katsuhiko; Oda, Teiji; Terai, H; Hanyu, Michiya; Ban, Toshihiko

doi:10.1016/0003-4975(95)00650-a

Cited by 9 publications

(5 citation statements)

References 4 publications

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“…Operative mortality in the GIE group was equivalent to that in the non-GIE group (17.6% vs. 23.8%, p = 0.70) and comparable to previous reports. [11][12][13][14][15][16][17][18] The GIE technique leads to longer operation, CPB, and cardiac arrest times than when using a non-GIE technique because it requires additional time to create the 3-dimensional pouch. Furthermore, most patients in the non-GIE group underwent the extended sandwich patch procedure, which required fewer stitches to repair the VSP.…”

Section: Discussionmentioning

confidence: 99%

“…The infarct exclusion technique has remarkably improved surgical outcomes for VSP, and several modified methods have been reported. [9][10][11][12][13][14][15][16][17][18] The original infarct exclusion technique is difficult because it is associated with making technical decisions concerning the patch size, as it requires applying a two-dimensional patch to the three-dimensional geometry of the left ventricle. Consequently, a non-geometric or a too-small patch creates excessive tension on the suture line, resulting in a residual shunt.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have attempted to compensate for this technical difficulty. [11][12][13][14][15][16][17][18] In our GIE technique, the patch size is not tailored before suturing or applying it to the left ventricle. Therefore, surgeons can suture the patch without considering its final size.…”

Section: Discussionmentioning

confidence: 99%

“…Consequently, several modified infarct exclusion techniques were reported. [11][12][13][14][15][16][17][18] The geometrical infarct exclusion (GIE) technique, reported by us in 2010, 19) introduced some modifications to the patch configurations to avoid these complications. In that article, we reported the early clinical outcomes of GIE techniques in six patients.…”

Section: Introductionmentioning

confidence: 99%

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Early and Late Surgical Outcomes after Geometrical Infarct Exclusion for Post-Infarct Ventricular Septal Perforation

Kurazumi,

Suzuki,

Ikenaga

et al. 2023

ATCS

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Purpose: Ventricular septal perforation (VSP) is a critical complication of acute myocardial infarction. Various surgical procedures for it have been developed; however, surgical outcomes remain unsatisfactory. In 2010, we introduced geometrical infarct exclusion (GIE) as a modification of the Komeda-David technique. This retrospective study compared the surgical outcomes of our geometric infarct exclusion technique to those of other surgical procedures. Methods: This study included 38 patients who underwent surgery for VSP. They were divided into patients who underwent GIE (GIE group; n = 17) and those who underwent other procedures (non-GIE group; n = 21). The clinical outcomes of the two groups were compared. Results: Operation, cardiopulmonary bypass, and cardiac arrest times in the GIE group were significantly longer than those in the non-GIE group (p <0.001). A residual shunt was observed in one patient (5.8%) in the GIE group and eight (38.0%) in the non-GIE group (p = 0.026). No patients in the GIE group required a reoperation for the residual shut, while two patients required it in the non-GIE group (p = 0.492). Operative mortality was insignificantly different between the two groups. Conclusion: Geometric infarct exclusion has a longer procedural time than does other surgical procedures but can reduce the rates of residual shunts and reoperations.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Early and Late Surgical Outcomes after Geometrical Infarct Exclusion for Post-Infarct Ventricular Septal Perforation

Kurazumi,

Suzuki,

Ikenaga

et al. 2023

ATCS

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“…7) Many surgeons have modified the method of creating and suturing the three-dimensional patch on the inside of the left ventricle. Matsuda, et al8) designed a single pericardial patch trimmed into a conic sack, and Shibata, et al9) devised two pericardial patches joined to make a single pouch.On the other hand, in 1969 Iben, et al10) reported the double Teflon patch technique through a right vetriculotomy. Various double patch techniques and sandwich repairs using two patches have been introduced over the following decades 4,7).…”

mentioning

confidence: 99%