A successful transatrial repair in redo surgery of postinfarction inferoposterior ventricular septal rupture

Takashi Tominaga; Hirotsugu Kurobe; Tamotsu Kanbara; Takeyuki Kanemura; Takashi Kitaichi; Tetsuya Kitagawa

doi:10.2152/jmi.54.184

Case reports

A successful transatrial repair in redo surgery of postinfarction inferoposterior ventricular septal rupture

Takashi Tominaga, Hirotsugu Kurobe, Tamotsu Kanbara, Takeyuki Kanemura, Takashi Kitaichi, Tetsuya Kitagawa

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Keywords: postinfarction cardiac complications, reoperation, rupture

JOURNAL FREE ACCESS

2007 Volume 54 Issue 1,2 Pages 184-186

DOI https://doi.org/10.2152/jmi.54.184

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Abstract

A successful transatrial repair in redo surgery of postinfarction posterior ventricular septal rupture (VSR) was performed after an infarct exclusion technique through left ventriculotomy incision of the infarcted area. For the infarct lesion, this approach provides excellent results with sufficient closure of the VSR and prevention of the ventricular remodeling for five years. A right atrial approach for postinfarction posterior VSR is very useful for avoiding any further ventriculotomy in an already impaired ventricle, securing a stable suture, and preserving the left ventricular geometry and function. J. Med. Invest. 54: 184-186, February, 2007

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