Why the study?
Does intraventricular repair using an autologous pericardial patch without excising the myocardium preserve ventricular geometry and cardiac function in a patient with postinfarction ventricular septal perforation?
Does intraventricular repair using an autologous pericardial patch without excising the myocardium preserve ventricular geometry and cardiac function in a patient with postinfarction ventricular septal perforation?
Autologous pericardial patch repair without myocardial excision for postinfarction ventricular septal perforation may preserve ventricular geometry and cardiac function.
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Supports further evaluation of autologous pericardial patch repair for postinfarction VSP; should not yet alter clinical practice.
Surgical therapy for ventricular septal perforation associated with acute myocardial infarction is thought to reduce ventricular chamber volume and distort the ventricle due to excision of the myocardium. A 69-year old man underwent elective surgery that used an autologous pericardial patch without excising the myocardium. Intraventricular repair using the autologous pericardial patch enabled preservation of ventricular geometry and chamber volume and did not result in a depression of cardiac function. Moreover, it has been reported that this surgical procedure protects against suture bleeding and decreases the amount of foreign material required, thus possibly reducing the risk of infectious complications.
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Sogabe et al. (1995) studied this question.
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