急性心肌梗死后VSR扩展夹层修补技术

Postinfarction ventricular septal rupture (VSR) is a lethal structural complication following acute myocardial infarction (AMI). It carrys substancial mortality even with many modified surgical techniques and percutaneous procedures developed lately. Predictors for poor survival include cardiogenic shock, the need for repair within 7 days after AMI, posterior VSR and shunt recurrence. We propose that the fundamental requirements for VSR closure include a sufficiently large patch securely fixed on the LV side of the septum, minimal damage to LV function, and simplicity of technique. Our “extended sandwich patch technique” fulfils those requirements, and has yielded improved outcomes without shunt recurrence, even within 7 days following onset, and for posterior VSR.
This video demonstrated our latest procedure of "Extended Sandwich Double Patch" technique for acute, cardiogenic shock, posterior type VSR. Technical details are described with scripts. We, cardiac surgeons, should certainly be able to improve clinical outcome of this devastating condition.

                               
登录/注册后可看大图