TITLE:
Total Transmural Sutures (TTS) Method, Modified Infarction Exclusion Technique for Ventricular Septal Rupture after Extensive Myocardial Infarction
AUTHORS:
Keisuke Morimoto, Yoshikazu Fujiwara, Tsuyoshi Sasami, Kunitaka Kumagai, Rikuto Nii
KEYWORDS:
Infarction Exclusion Technique, Ventricular Septal Rupture, Myocardial Infarction
JOURNAL NAME:
World Journal of Cardiovascular Surgery,
Vol.10 No.7,
July
17,
2020
ABSTRACT: The infarction exclusion technique using endoventricular continuous
sutures for ventricular septal rupture after acute myocardial infarction may be
a difficult surgical technique and create residual shunt due to fragile
myocardium. We present a patient of ventricular septal rupture (VSR) after
extensive anteroseptal myocardial infarction who underwent successful repair
using a modified infarction exclusion
technique. In our procedure interrupted mattress sutures were placed
through the ventricular wall in a way as to exclude the VSR and infarcted
muscle of the left ventricle. A heterogeneous pericardial patch is sutured to
healthy endocardium in the free and septal wall all around the infarcted area.
We describe a procedure for repairing postinfarction VSR, by the infarction
exclusion technique with total transmural sutures (TTS) method.