A Simple Modified Infarct Exclusion Technique for a Patient with Large Ventricular Septal Perforation

(Department of Cardiovascular Surgery, Kameda Medical Center, Chiba, Japan)

Kazuhiro Hisamoto Masaaki Toyama Masanori Katoh
Yuji Kato Yukiharu Sugimura
A 79 year-old woman was given a diagnosis of acute myocardial infarction and was immediately transferred to our hospital by a helicopter. Cardiologists successfully revascularized the occluded left anterior descending artery which was considered to be the care of this case. After that, they detected a large ventricular septal perforation by transthoracic echocardiography. We performed repair of the ventricular septal perforation 4 days later, with a modified infarct exclusion technique. Residual shunt flow was not seen by echocardiography after the operation. This patient recovered uneventfully and was discharged on postoperative day 55.
  Jpn. J. Cardiovasc. Surg. 42:168-171(2013)

Keywords:ventricular septal perforation, VSP, modified infarct exclusion technique