Report of five cases: sandwich repair for post infarction ventricular septal rupture with right ventricular approach
Abstract Background Different techniques have been described to repair post myocardial infarction ventricular septal rupture (VSR), each method may result in residual shunting, bleeding, and suboptimal left ventricular (LV) performance secondary to change in LV geometry. The aim of this report is to...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2020-03-01
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| Series: | The Egyptian Heart Journal |
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| Online Access: | http://link.springer.com/article/10.1186/s43044-020-00048-2 |
| _version_ | 1811285546883874816 |
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| author | Shahyad Salehi-ardebili Hamid Mehdizade Behnam Askari |
| author_facet | Shahyad Salehi-ardebili Hamid Mehdizade Behnam Askari |
| author_sort | Shahyad Salehi-ardebili |
| collection | DOAJ |
| description | Abstract Background Different techniques have been described to repair post myocardial infarction ventricular septal rupture (VSR), each method may result in residual shunting, bleeding, and suboptimal left ventricular (LV) performance secondary to change in LV geometry. The aim of this report is to describe early and mid-term results of sandwich technique through right ventricle in five consecutive patients. Case presentation Five consecutive patients (3 women and 2 men) with VSR (mean age 62.8 years, range 51-70) underwent surgical repair for postinfarction ventricular septal rupture by sandwich technique performed through right ventricle from August 2012 to April 2019 in our institute. Reconstruction of the septum was performed by two patches of 0.6 mm Gore-Tex on each side of the septal defect through right ventricular incision, according to the method described by Isoda et al. Coronary artery bypass grafting was performed in two patients. The mean aortic clamp time was 90 min (range, 64 to 157 min). The mean extracorporeal circulation time was 146.6 min (range, 108 to 240 min). Postoperative intensive care unit (ICU) stay averaged 12 days (range, 4-40 days). There was no hospital mortality. No postoperative residual shunting was detected, and no patient needed re-operation for bleeding. Patients have been followed up for a mean of 24.4 months (range, 1 week to 7 years). There was one death seven days after discharge due to arrhythmia (40 days after surgery). Conclusion Sandwich technique through right ventricular approach is simple and extendable to all VSRs irrespective of their locations. Residual shunting and bleeding are negligible or zero. It may be considered as standard of repair for patient with post infarction ventricular septal rupture. |
| first_indexed | 2024-04-13T02:45:41Z |
| format | Article |
| id | doaj.art-40c2b21127264efd9d4dde92b4126bef |
| institution | Directory Open Access Journal |
| issn | 2090-911X |
| language | English |
| last_indexed | 2024-04-13T02:45:41Z |
| publishDate | 2020-03-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Heart Journal |
| spelling | doaj.art-40c2b21127264efd9d4dde92b4126bef2022-12-22T03:06:01ZengSpringerOpenThe Egyptian Heart Journal2090-911X2020-03-017211510.1186/s43044-020-00048-2Report of five cases: sandwich repair for post infarction ventricular septal rupture with right ventricular approachShahyad Salehi-ardebili0Hamid Mehdizade1Behnam Askari2Department of Cardiovascular Surgery, Seyyed-al-Shohada Heart Center, Urmia University of Medical SciencesDepartment of Cardiovascular Surgery, Seyyed-al-Shohada Heart Center, Urmia University of Medical SciencesDepartment of Cardiovascular Surgery, Seyyed-al-Shohada Heart Center, Urmia University of Medical SciencesAbstract Background Different techniques have been described to repair post myocardial infarction ventricular septal rupture (VSR), each method may result in residual shunting, bleeding, and suboptimal left ventricular (LV) performance secondary to change in LV geometry. The aim of this report is to describe early and mid-term results of sandwich technique through right ventricle in five consecutive patients. Case presentation Five consecutive patients (3 women and 2 men) with VSR (mean age 62.8 years, range 51-70) underwent surgical repair for postinfarction ventricular septal rupture by sandwich technique performed through right ventricle from August 2012 to April 2019 in our institute. Reconstruction of the septum was performed by two patches of 0.6 mm Gore-Tex on each side of the septal defect through right ventricular incision, according to the method described by Isoda et al. Coronary artery bypass grafting was performed in two patients. The mean aortic clamp time was 90 min (range, 64 to 157 min). The mean extracorporeal circulation time was 146.6 min (range, 108 to 240 min). Postoperative intensive care unit (ICU) stay averaged 12 days (range, 4-40 days). There was no hospital mortality. No postoperative residual shunting was detected, and no patient needed re-operation for bleeding. Patients have been followed up for a mean of 24.4 months (range, 1 week to 7 years). There was one death seven days after discharge due to arrhythmia (40 days after surgery). Conclusion Sandwich technique through right ventricular approach is simple and extendable to all VSRs irrespective of their locations. Residual shunting and bleeding are negligible or zero. It may be considered as standard of repair for patient with post infarction ventricular septal rupture.http://link.springer.com/article/10.1186/s43044-020-00048-2Post-infarction ventricular septal ruptureRight ventricleSandwich techniqueCase report |
| spellingShingle | Shahyad Salehi-ardebili Hamid Mehdizade Behnam Askari Report of five cases: sandwich repair for post infarction ventricular septal rupture with right ventricular approach The Egyptian Heart Journal Post-infarction ventricular septal rupture Right ventricle Sandwich technique Case report |
| title | Report of five cases: sandwich repair for post infarction ventricular septal rupture with right ventricular approach |
| title_full | Report of five cases: sandwich repair for post infarction ventricular septal rupture with right ventricular approach |
| title_fullStr | Report of five cases: sandwich repair for post infarction ventricular septal rupture with right ventricular approach |
| title_full_unstemmed | Report of five cases: sandwich repair for post infarction ventricular septal rupture with right ventricular approach |
| title_short | Report of five cases: sandwich repair for post infarction ventricular septal rupture with right ventricular approach |
| title_sort | report of five cases sandwich repair for post infarction ventricular septal rupture with right ventricular approach |
| topic | Post-infarction ventricular septal rupture Right ventricle Sandwich technique Case report |
| url | http://link.springer.com/article/10.1186/s43044-020-00048-2 |
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