A Modified Transatrial Approach for Repair of Postinfarction Ventricular Septal Defect.
Journal
The Annals of thoracic surgery
ISSN: 1552-6259
Titre abrégé: Ann Thorac Surg
Pays: Netherlands
ID NLM: 15030100R
Informations de publication
Date de publication:
02 2019
02 2019
Historique:
received:
25
06
2018
revised:
09
07
2018
accepted:
23
08
2018
pubmed:
26
10
2018
medline:
13
11
2019
entrez:
26
10
2018
Statut:
ppublish
Résumé
Ventricular septal defect (VSD) is a life-threatening complication of myocardial infarction. Surgical repair is generally performed through a left/right ventriculotomy. To avoid complications associated with ventriculotomy, a right transatrial approach has been proposed. We describe a modified transatrial approach through the left atrium for basal-inferior VSD. After left atriotomy, mitral valve is detached from the annulus to expose the defect, which is closed with a pericardial patch. Two patients were operated by this method. In both cases venoarterial extracorporeal membrane oxygenation with a ventricular vent was utilized to unload the left ventricle. Echocardiography revealed no residual shunt in both cases.
Identifiants
pubmed: 30359595
pii: S0003-4975(18)31500-5
doi: 10.1016/j.athoracsur.2018.08.077
pii:
doi:
Types de publication
Journal Article
Technical Report
Langues
eng
Sous-ensembles de citation
IM
Pagination
e147-e149Informations de copyright
Copyright © 2019 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.