Successful Surgical Repair for Subacute Postinfarcted Ventricular Septal Perforation Complicated by Left Ventricular Aneurysm

Reo Sakakura＊	Tomoaki Suzuki＊	Naoshi Minamidate＊
Shinya Terada＊	Takeshi Kinoshita＊	Tohru Asai＊

（Department of Cardiovascular Surgery, Shiga University of Medical Science＊, Otsu, Japan）

The surgical outcome is worse when VSP is attempted soon after myocardial infarction due to the more poor general condition, preoperative cardiogenic shock, fragile infarcted myocardial tissue. We successfully rescued a 80-year cardiopulmonary arrest patient who was suffering from subacute postinfarcted VSP complicated by the left ventricular aneurysm. The VSP was closed with the sandwich patch technique approached from both ventricles. The left ventricular aneurysm was repaired with endoventricular circular patch plasty.

 

Jpn. J. Cardiovasc. Surg. 47:54-57（2018）

Keywords：ventricular septal perforation;left ventricular