| Surgical Repair of Complications
Following Acute Myocardial Infarction |
| Yasumi Maze |
Hidehito Kawai |
Yoshihiko Katayama |
| Makoto Kimura |
Sekira Shomura |
|
(Department of Thoracic Surgery, Yamada Red Cross
Hospital, Mie, Japan)
|
Sixteen consecutively seen patients
underwent surgical repair for complications following acute myocardial
infarction. There were two cases with acute mitral regurgitation
due to posterior papillary muscle rupture, who underwent mitral
valve replacement with a prosthetic valve. There were three cases
of postinfarction left ventricular free wall rupture. In all
cases, horizontal mattress suture with Teflon felt strip was
used in order to close the myocardial tear. The two out of three
who survived had been placed on percutaneous cardiopulmonary
support prior to the operation. There were 11 cases of postinfarction
ventricular septal perforation. The surgical procedures consisted
of simple patch closure (Daggett's method) in 7 cases, direct
closure in one case, apical amputation in one case and endocardial
patch repair with infarct exclusion (Komeda-David method) in
the most recent two cases. Six out of eleven survived. Early
diagnosis and surgical treatment are mandatory to save these
patients. Intraaortic balloon pumping and percutaneous cardiopulmonary
support prior to the operation have been used to advantage in
some patients.
Jpn. J. Cardiovasc. Surg. 31：247-251(2002) |
|
