Details

Autor(en) / Beteiligte

• Sayfo, Sameh
• Stepp, Lindsay O.
• Ganzel, Brian
• Slaughter, Mark S.
• Flaherty, Michael P.

Titel

Management of Recurrent Leaks Following Postinfarction Ventricular Septal Defect Repairs

Ist Teil von

• Journal of cardiac surgery, 2012-09, Vol.27 (5), p.576-580

Ort / Verlag

Malden, USA: Blackwell Publishing Inc

Erscheinungsjahr

2012

Quelle

Wiley-Blackwell Journals

Beschreibungen/Notizen

• Ventricular septal rupture (VSR) complicates acute myocardial infarction (AMI) in less than 0.2% of cases and is usually surgically managed by endocardial patch repair with infarct exclusion. Although successful in 80% of cases, failure of patch repair (often because of patch dehiscence) results in attempts at percutaneous closure as reoperative mortality can be as high as 40%. We describe a case of an AMI in a 63‐year‐old male with resultant VSR that required repeat surgical patch repair secondary to recurrent leak. We discuss the management of recurrent leaks and surgical techniques aimed at decreasing residual defects. (J Card Surg 2012;27:576‐580)