Article: [Modified Komeda-David operation for postinfarction ventricular septal perforation].
Kyobu geka. The Japanese journal of thoracic surgery
2005 Volume 58, Issue 4, Page(s) 289–293
Abstract: The infarct exclusion technique with a xeno-pericardial patch which Komeda and associates firstly reported in 1990 is one of the best procedure to close ventricular septal perforation. A large patch can protect the perforation and the surrounding weak ... ...
Abstract | The infarct exclusion technique with a xeno-pericardial patch which Komeda and associates firstly reported in 1990 is one of the best procedure to close ventricular septal perforation. A large patch can protect the perforation and the surrounding weak tissue from the internal left ventricular pressure. However, suturing this large patch to the left ventricular wall through the small incision is not technically easy because of the patch design in the ventricle. We modified the design of the patch. This round shaped bovine pericardial patch was sutured continuously to the left ventricular wall. Then, excessive part of the patch was trimmed to make a corn shape. Finally, the corn shaped patch fit the left ventricular wall naturally. |
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MeSH term(s) | Aged ; Cardiac Surgical Procedures/methods ; Humans ; Male ; Suture Techniques ; Ventricular Septal Rupture/surgery |
Language | Japanese |
Publishing date | 2005-04 |
Publishing country | Japan |
Document type | Case Reports ; English Abstract ; Journal Article |
ZDB-ID | 603899-2 |
ISSN | 0021-5252 |
ISSN | 0021-5252 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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