Successful repair of recurrent ventricular septal perforation after myocardial infarction using double patch technique via right ventriculotomy : a case report

© 2024. The Author(s)..

BACKGROUND: Post-myocardial infarction (MI) ventricular septal perforation (VSP) is a rare but life-threatening complication. Surgical repair is challenging and carries significant risks, particularly in the context of recurrent VSPs. This case study presents a patient with recurrent VSP after initial surgical repair following myocardial infarction.

CASE PRESENTATION: A 65-year-old male were re-administered to our hospital due to recurrent VSP. He was during follow up after undergone emergency VSP closure surgery 2 months earlier, utilizing the bovine double patch technique via left ventriculostomy. The initial VSP was located in the apical part of the interventricular septum, while the recurrent VSP appeared in the upper middle portion of the interventricular septum (Fig. 1). As the previous patch remained intact, the second surgery employed the bovine double patch technique via right ventriculostomy. The patient's condition remained stable without the development of heart failure symptoms.

CONCLUSION: Repairing recurrent VSPs remains a challenge, necessitating the mastery of appropriate approaches to achieve optimal outcomes. Further research and guidelines are required to refine management strategies for recurrent VSPs.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:19

Enthalten in:

Journal of cardiothoracic surgery - 19(2024), 1 vom: 20. Apr., Seite 249

Sprache:

Englisch

Beteiligte Personen:

Ashsholih, Khoirur Rijal [VerfasserIn]
Takasaki, Taiichi [VerfasserIn]
Tomota, Mayu [VerfasserIn]
Tokumoto, Taika [VerfasserIn]
Go, Seimei [VerfasserIn]
Emura, Shogo [VerfasserIn]
Ozawa, Masamichi [VerfasserIn]
Takahashi, Shinya [VerfasserIn]

Links:

Volltext

Themen:

Case Reports
Double patch technique
Journal Article
Recurrent VSP
VSP after MI

Anmerkungen:

Date Completed 22.04.2024

Date Revised 30.04.2024

published: Electronic

Citation Status MEDLINE

doi:

10.1186/s13019-024-02673-3

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM371321018