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  • Title: Simple geometrical infarct exclusion technique with a single patch for postinfarction ventricular septal perforation.
    Author: Kobayashi T, Mikamo A, Suzuki R, Murakami M, Shirasawa B, Hamano K.
    Journal: Ann Thorac Surg; 2010 Jun; 89(6):2049-52. PubMed ID: 20494090.
    Abstract:
    Six consecutive patients underwent emergency surgical repair of a postinfarction ventricular septal perforation. The principle of this technique is a simple three-dimensional repair with a nontailored square patch beforehand, which provides an adequate-sized pouch and prevents dehiscence of the patch being caused by excessive tension on the suture line. It also prevents a residual shunt. A single equine pericardium was sutured to the viable muscle circumferentially around the infarcted area to be excluded, after which the free edge of the patch was tailored and sutured in a pouch configuration. This technique seems to provide satisfactory early results in the acute phase of myocardial infarction.
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