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. 1971 Sep;26(5):610–614. doi: 10.1136/thx.26.5.610

Surgical considerations in the treatment of acute acquired ventricular septal defect

Lorenzo Gonzalez-Lavin 1,1, Rostik Zajtchuk 1
PMCID: PMC472357  PMID: 4943957

Abstract

In the light of our experience and that of others (Oldham et al., 1969; Iben, Pupello, Stinson, and Shumway, 1969), early surgical closure of acquired ventricular septal defect is advocated. Two successful cases are presented, one after myocardial infarction and one after penetrating trauma to the heart. Description of the present method of repair is presented. Two prosthetic patches are interposed in the closure of the defect. The advantages of this technique are (a) the key sutures are placed through healthy tissue and are anchored by the two patches, and (b) an additional suture line along the free edge of the right ventricular patch ensures a complete closure.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Allen P., Woodwark G. Surgical management of postinfarction ventricular septal defects. J Thorac Cardiovasc Surg. 1966 Mar;51(3):346–352. [PubMed] [Google Scholar]
  2. BARNARD P. M., KENNEDY J. H. POSTINFARCTION VENTRICULAR SEPTAL DEFECT. Circulation. 1965 Jul;32:76–83. doi: 10.1161/01.cir.32.1.76. [DOI] [PubMed] [Google Scholar]
  3. BEALL A. C., Jr, HAMIT H. F., COOLEY D. A., DEBAKEY M. E. SURGICAL MANAGEMENT OF TRAUMATIC INTRACARDIAC LESIONS. J Trauma. 1965 Mar;5:133–141. [PubMed] [Google Scholar]
  4. BOICOURT O. W., RITZMANN L. W., CHASE J. D., STARR A., McCORD C. W. Rupture of the infarcted interventricular septum. Surgical repair with survival. Circulation. 1962 Dec;26:1321–1328. doi: 10.1161/01.cir.26.6.1321. [DOI] [PubMed] [Google Scholar]
  5. COOLEY D. A., BELMONTE B. A., ZEIS L. B., SCHNUR S. Surgical repair of ruptured interventricular septum following acute myocardial infarction. Surgery. 1957 Jun;41(6):930–937. [PubMed] [Google Scholar]
  6. DAVISON T., DEGENSHEIN G. A., YUCEOGLU Y. Z., REYES A. L., Jr, LEVOWITZ B., DRESDALE D. T., KANTROWITZ A. REPAIR OF VENTRICULAR SEPTAL DEFECT FOLLOWING MYOCARDIAL INFARCTION. Ann Surg. 1964 Jul;160:33–41. doi: 10.1097/00000658-196407000-00006. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Grismer J. T., Raab D. E., Berman D. A., Berman R., Hill E. Successful repair of a ruptured ventricular septum complicating a recent myocardial infarction. Am J Cardiol. 1966 Jul;18(1):120–123. doi: 10.1016/0002-9149(66)90204-9. [DOI] [PubMed] [Google Scholar]
  8. HOLLOWAY D. H., Jr, WHALEN R. E., MCINTOSH H. D. SYSTOLIC MURMUR DEVELOPING AFTER MYOCARDIAL ISCHEMIA OR INFARCTION: DIFFERENTIAL DIAGNOSIS. JAMA. 1965 Mar 15;191:888–892. doi: 10.1001/jama.1965.03080110012002. [DOI] [PubMed] [Google Scholar]
  9. Iben A. B., Pupello D. F., Stinson E. B., Shumway N. E. Surgical treatment of postinfarction ventricular septal defects. Ann Thorac Surg. 1969 Sep;8(3):252–262. doi: 10.1016/s0003-4975(10)66235-2. [DOI] [PubMed] [Google Scholar]
  10. KING H., SHUMACKER H. B., Jr Surgical repair of a traumatic aortic-right ventricular fistula. J Thorac Surg. 1958 Jun;35(6):734–739. [PubMed] [Google Scholar]
  11. LEE W. Y., CARDON L., SLODKI S. J. Perforation of infarcted interventricular septum. Report of a case with prolonged survival, diagnosed ante mortem by cardiac catheterization, and review of the literature. Arch Intern Med. 1962 Jun;109:731–741. doi: 10.1001/archinte.1962.03620180093011. [DOI] [PubMed] [Google Scholar]
  12. LUNDBERG S., SODERSTROM J. Perforation of the interventricular septum in myocardial infarction. A study based upon an autopsy material. Acta Med Scand. 1962 Oct;172:413–418. doi: 10.1111/j.0954-6820.1962.tb07174.x. [DOI] [PubMed] [Google Scholar]
  13. MORRIS G. C., Jr, FOSTER R. P., DUNN J. P., COOLEY D. A. Traumatic aorticoventricular fistula: report of two cases successfully repaired. Am Surg. 1958 Dec;24(12):883–888. [PubMed] [Google Scholar]
  14. Oldham H. N., Jr, Scott S. M., Dart C. H., Jr, Fish R. G., Claxton C. P., Dillon M. L., Jr, Sabiston D. C., Jr Surgical correction of ventricular septal defect following acute myocardial infarction. Ann Thorac Surg. 1969 Mar;7(3):193–201. doi: 10.1016/s0003-4975(10)66171-1. [DOI] [PubMed] [Google Scholar]
  15. PAYNE W. S., HUNT J. C., KIRKLIN J. W. Surgical repair of ventricular septal defect due to myocardial infarction. Report of a case. JAMA. 1963 Feb 16;183:603–605. doi: 10.1001/jama.1963.63700070040020d. [DOI] [PubMed] [Google Scholar]
  16. PROUDFIT W. L., TAPIA F. A., McCORMACK L. J., EFFLER D. B. Rupture of the ventricular myocardium and perforation of the interventricular septum complicating acute myocardial infarction. Circulation. 1959 Jul;20(1):128–132. doi: 10.1161/01.cir.20.1.128. [DOI] [PubMed] [Google Scholar]
  17. RUBENSTEIN P., LEVINSON D. C. Acquired interventricular septal defects due to myocardial infarction and nonpenetrating trauma to the chest. Am J Cardiol. 1961 Feb;7:277–282. doi: 10.1016/0002-9149(61)90284-3. [DOI] [PubMed] [Google Scholar]
  18. Rogers M. A., Chesler E., Du Plessis L. Surgical management of traumatic cardiac fistulae. Thorax. 1969 Sep;24(5):543–546. doi: 10.1136/thx.24.5.543. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. SHICKMAN M. D., FIELDS J., PEARCE M. L. Repair of ruptured interventricular septum complicating acute myocardial infarction. AMA Arch Intern Med. 1959 Jan;103(1):140–145. doi: 10.1001/archinte.1959.00270010146019. [DOI] [PubMed] [Google Scholar]
  20. SUMMERALL C. P., 3rd, LEE W. H., Jr, BOONE J. A. INTRACARDIAC SHUNTS AFTER PENETRATING WOUNDS OF THE HEART. N Engl J Med. 1965 Feb 4;272:240–242. doi: 10.1056/NEJM196502042720505. [DOI] [PubMed] [Google Scholar]

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