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The Journal of Cardiovascular Surgery 2000 February;41(1):51-2

Copyright © 2009 EDIZIONI MINERVA MEDICA

lingua: Inglese

Repair of leaking postinfarction ventricular septal defect under circulatory arrest via left thoracotomy

Song M. H., Shimomura T., Yamada K., Miyahara K., Ohara Y., Watanabe T., Yasuura K., Murase M.

From the Department of Cardiothoracic Surgery, Nagoya University School of Medicine, Nagoya, Japan


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We ­treated a 60-­year-old ­woman for post­in­farc­tion ven­tric­ular ­septal ­defect (VSD) and ­closed it by the infarc­tion exclu­sion ­method. Post­op­er­a­tively she was com­pli­cated by Can­dida ­sternal med­i­as­tin­itis and ­residual ­shunt of VSD. ­After her ­sternal infec­tion ­came ­under con­trol, we ­repaired the ­leaking VSD via ­left thor­a­cotomy ­under hypo­thermic cir­cu­la­tory ­arrest. She recov­ered ­well and ­repair of the le­aking VSD ­under cir­cu­la­tory ­arrest via ­left thor­a­cotomy ­seemed to be a ­safe and prom­ising alter­na­tive for VSD ­repair.

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