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Extended Sandwich Patch Technique via Right Ventriculotomy for Acute Ventricular Septal Rupture.
http://hdl.handle.net/10422/00013136
http://hdl.handle.net/10422/000131363771aa73-753f-4e4f-bbe0-e4b9c96183e0
Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2021-11-24 | |||||
タイトル | ||||||
タイトル | Extended Sandwich Patch Technique via Right Ventriculotomy for Acute Ventricular Septal Rupture. | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
アクセス権 | ||||||
アクセス権 | metadata only access | |||||
アクセス権URI | http://purl.org/coar/access_right/c_14cb | |||||
著者 |
KINOSHITA, Takeshi
× KINOSHITA, Takeshi× ASAI, Tohru× HACHIRO, Kohei× SUZUKI, Tomoaki |
|||||
著者別名 |
木下, 武
× 木下, 武× 浅井, 徹× 鉢呂, 康平× 鈴木, 友彰 |
|||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Background: Surgical repair for postinfarction ventricular septal rupture (VSR) was still a challenging operation, especially when required in the acute phase or posterior VSR. The extended sandwich patch technique is characterized by large double patches fixed by circumferential transmural large mattress sutures via right ventricle incision. In the present study, we report early and midterm clinical and echocardiographic outcomes of this technique. |
|||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Methods: Of 33 consecutive patients undergoing VSR repair using the extended sandwich patch technique between 2008 and 2018, 25 received surgery within 1 week from the onset of myocardial infarction (early group) and 8 received surgery after 1 week (late group), including 12 patients with posterior VSR. All patients underwent surgery within 24 hours of VSR diagnosis. |
|||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Results: Intraoperative transesophageal echocardiography identified no residual shunt, but 2 patients received reoperative VSR repair at 9 days and 2 months after the first VSR repair. The 30-day mortality and 1-year survival in the early and late groups were 20% and 12.5%, and 58% and 88%, respectively. After VSR repair, right and left heart chamber sizes were significantly decreased, and these improvements were stable throughout the subsequent follow-up period (median 4.0 years). Tricuspid annular plane systolic excursion and right ventricular fractional area change remained constant throughout the observation period without changing after VSR repair. |
|||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Conclusions: The extended sandwich patch technique through a right ventriculotomy offered safe and simple, leak-free repair even in technically demanding acute phase or posterior VSR. No significant decline was found in the right heart function after surgery. |
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書誌情報 |
en : The Annals of thoracic surgery 発行日 2021-05-21 |
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出版者 | ||||||
出版者 | Elsevier Inc. | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 1552-6259 | |||||
PMID | ||||||
識別子タイプ | PMID | |||||
関連識別子 | 34023237 | |||||
DOI | ||||||
識別子タイプ | DOI | |||||
関連識別子 | https://doi.org/10.1016/j.athoracsur.2021.04.090 | |||||
関連名称 | 10.1016/j.athoracsur.2021.04.090 | |||||
権利 | ||||||
権利情報 | © 2021 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved. | |||||
資源タイプ | ||||||
内容記述タイプ | Other | |||||
内容記述 | Journal Article |