Key result
Double patch repair shows 100% survival in posterior post-MI septal perforations versus infarct exclusion.
Why the study?
Surgical outcomes for ventricular septal perforation after posterior myocardial infarction, especially basal perforation, remain poor and require evaluation.
Observational (n=7)
No
Surgical outcomes for basal ventricular septal perforation after posterior myocardial infarction remain poor with the infarct exclusion method, but a right ventricular incision double patch closure approach may offer improved survival.
Posterior basal VSP repair carries high mortality; leaves open whether right ventriculotomy double-patch closure improves survival.
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Nakai et al. (2013) conducted an observational in Ventricular septum perforation after posterior myocardial infarction (n=7). Surgical repair (double patch method via right ventricle incision vs. infarct exclusion) vs. Infarct exclusion method was evaluated on Survival. In patients with ventricular septum perforation after posterior myocardial infarction, the double patch method via a right ventricle incision yielded survival in both treated cases, whereas infarct exclusion for cardiac base perforations resulted in 100% mortality (3 of 3 patients).
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