Surgical considerations in the treatment of acute acquired ventricular septal defect

Gonzalez‐Lavin, Lorenzo; Zajtchuk, Russ

doi:10.1136/thx.26.5.610

Cited by 4 publications

(2 citation statements)

References 23 publications

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“…Depending on the presence of either LV or RV aneurysm, PIVSDs can be repaired via an incision in the wall of the left or right ventricular aneurysm. 11 A Dacron patch of a larger size than the PIVSD can be sutured to one side of the IVS. To prevent rVSD, the patch sutures are closely and evenly placed through the noninfarcted myocardium of the IVS.…”

Section: Discussionmentioning

confidence: 99%

“…4 Some surgeons use the "sandwich technique" of VSD closure with positioning two VSD patches on both sides of the IVS. 11,12 This method is associated with a 30% incidence of rVSDs. 13 However, both these techniques do not exclude ventricular aneurysms from the ventricular cavity which can be a source of thrombus formation and thromboembolism.…”

Section: Discussionmentioning

confidence: 99%

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Postmyocardial infarction ventricular septal defect and ventricular aneurysm repair with a “double‐patch frame” technique

Belyaev

Popov

Alshibaya

2022

Journal of Cardiac Surgery

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Postmyocardial infarction ventricular septal defect and ventricular aneurysm repair with a “double‐patch frame” technique

Belyaev

Popov

Alshibaya

2022

Journal of Cardiac Surgery

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Surgical treatment of ventricular septal rupture and mitral regurgitation complicating acute myocardial infarction: Report of a case and review of the literature

Gonzalez‐Lavin

Friedman

1983

Clinical Cardiology

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Summary:Coexisting ventricular septal rupture (VSR) and severe mitral regurgitation following myocardial infarction is rare; only ten cases have been documented in the English literature. Present refinements in myocardial preservation and surgical techniques have markedly improved the results of surgery in this group of desperately ill patients. Early repair of both lesions is advocated and exemplified by a case report.

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The role of surgery in the treatment of patients with complications of acute myocardial infarction

Austen

McEnany

1978

World j. surg.

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In the patient in cardiogenic shock with or without a mechanical complication after acute myocardial infarction, medical treatment alone is often inadequate. Occasionally, early mechanical circulatory support by means of intraaortic balloon pumping (IABP) may be successful; in such patients, however, operation is usually required later. In most instances, IABP alone is insufficient, but it is an effective stabilizing measure that allows many patients to safely undergo cardiac catheterization, coronary arteriography, and surgical treatment. In selected patients with anterior myocardial infarction, early IABP can interrupt injury. Patients with severe cardiogenic shock due to massive infarction with extensive ventricular dysfunction are best managed with myocardial revascularization and, frequently, infarctectomy. Patients with an interventricular defect who survive to undergo defect repair usually do not undergo concomitant revascularization, but we frequently perform infarctectomy in this situation. Other patients with mechanical complications of myocardial infarction, such as mitral regurgitation due to papillary muscle rupture or dysfunction, ruptured chordae tendineae, or annular or ventricular dilatation, are usually best treated with both coronary artery bypass grafting and mitral valve repair or replacement with or without infarctectomy. In some patients with a malignant ventricular arrhythmia, wide excision of the infarct may be helpful, with or without revascularization. The likelihood of a good result after operation for any of the complications of myocardial infarction improves if the surgical procedure can be safely postponed until the patient is not in an acute state of illness. However, post-

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Surgical considerations in the treatment of acute acquired ventricular septal defect

Cited by 4 publications

References 23 publications

Postmyocardial infarction ventricular septal defect and ventricular aneurysm repair with a “double‐patch frame” technique

Postmyocardial infarction ventricular septal defect and ventricular aneurysm repair with a “double‐patch frame” technique

Surgical treatment of ventricular septal rupture and mitral regurgitation complicating acute myocardial infarction: Report of a case and review of the literature

The role of surgery in the treatment of patients with complications of acute myocardial infarction

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