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Published on September 23, 2008
Interactive CardioVascular and Thoracic Surgery 2008, doi:10.1510/icvts.2008.188359
© 2008 European Association of Cardio-Thoracic Surgery

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Coronary

Infarction-exclusion technique with the on-pump beating heart approach for ventricular septal perforation

Takeshi Shimamoto 1*, Akira Marui 1, Yoshiaki Saji 1, Masashi Komeda 1

1 Kyoto University Graduate School of Medicine, Japan

* To whom correspondence should be addressed. E-mail: shimamo{at}kuhp.kyoto-u.ac.jp.


   Abstract
We report a successful surgical management of postinfarction ventricular septal perforation by infarction-exclusion technique with the on-pump beating approach and concomitant coronary artery bypass grafting. The identification of the suture line by direct inspection and finger palpation could be more accurate in determining contractile, thus viable myocardium supporting the patch, and concomitant coronary artery bypass grafting with on-pump beating heart could minimize the cardioplegia-induced myocardial damage. Keywords: Left ventricle; Cardiomyoplasty; Myocardial infarction





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