The Annals of thoracic surgery · 1996
Early repair of postinfarction ventricular septal defect with gelatin-resorcin-formol biological glue.
СтатьяНазвание и аннотация: Перевод в очереди
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Musumeci F, Shukla V, Mignosa C, Casali G, Ikram S
Аннотация
BACKGROUND: Early surgical repair of postinfarction ventricular septal defect has improved early mortality rate. Mortality remains high in patients presenting within 1 week of infarction, or when rupture has occurred in the inferior part of the septum.
METHODS: We describe a surgical technique for repair of postinfarction ventricular septal defect that involves no infarctectomy: continuous suturing of a bovine pericardial patch to healthy myocardium around the infarcted area and use of gelatin-resorcin-formol biological glue as a sealant between the patch and the interventricular septum.
RESULTS: We have used this technique successfully in 3 consecutive patients in whom repair was performed within 1 week of myocardial infarction. The rupture of the interventricular septum was located anteriorly in 2 patients and inferiorly in the other. They all made an uneventful recovery, and at follow-up there was no evidence of residual shunt.
CONCLUSIONS: This technique can be a useful adjunct to the surgical management of this difficult group of patients.
METHODS: We describe a surgical technique for repair of postinfarction ventricular septal defect that involves no infarctectomy: continuous suturing of a bovine pericardial patch to healthy myocardium around the infarcted area and use of gelatin-resorcin-formol biological glue as a sealant between the patch and the interventricular septum.
RESULTS: We have used this technique successfully in 3 consecutive patients in whom repair was performed within 1 week of myocardial infarction. The rupture of the interventricular septum was located anteriorly in 2 patients and inferiorly in the other. They all made an uneventful recovery, and at follow-up there was no evidence of residual shunt.
CONCLUSIONS: This technique can be a useful adjunct to the surgical management of this difficult group of patients.
Предметные рубрики MeSH
AgedAnimalsCardiomyopathiesCardiopulmonary BypassCattleDrug CombinationsFemaleFollow-Up StudiesFormaldehydeGelatinHeart Rupture, Post-InfarctionHeart SeptumHeart VentriclesHumansIntra-Aortic Balloon PumpingMaleMyocardial InfarctionPericardiumResorcinolsSurvival RateSuture TechniquesTissue AdhesivesTransplantation, Heterologous