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  • Title: [Surgical repair of postinfarction ventricular septal perforation by endocardial patch with infarction exclusion].
    Author: Tanaka T, Hashimoto M, Ishida N, Manabe H, Matsumoto K.
    Journal: Kyobu Geka; 2001 Dec; 54(13):1112-4. PubMed ID: 11761895.
    Abstract:
    UNLABELLED: We evaluated the surgical results of postinfarction ventricular septal perforation by endocardial patch with infarction exclusion. MATERIALS AND METHODS: We reviewed 8 patients complicating AMI who underwent surgical treatment at our institution from July 1997 to August 2000 (6 males, 2 females, mean age 73.9 +/- 9, range 57-87). The localization of AMI and VSP was anterior in 6 patients, inferior in 2. All patients had coronary angiography preoperatively. And 7 patients had the percutaneous transluminal coronary angioplasty of the infarct artery. RESULTS: There were 2 hospital deaths due to cerebral infarction and pulmonary hemorrhage. All deaths occurred in patients with cardiogenic shock. CONCLUSION: Good results were obtained by infarction exclusion technique. Better operative results may be expected with the preoperative coronary angioplasty of the infarct artery.
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