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Open Access 01-12-2024 | Myocardial Infarction | Case Report

Successful repair of recurrent ventricular septal perforation after myocardial infarction using double patch technique via right ventriculotomy: a case report

Authors: Khoirur Rijal Ashsholih, Taiichi Takasaki, Mayu Tomota, Taika Tokumoto, Seimei Go, Shogo Emura, Masamichi Ozawa, Shinya Takahashi

Published in: Journal of Cardiothoracic Surgery | Issue 1/2024

Abstract

Background

Post-myocardial infarction (MI) ventricular septal perforation (VSP) is a rare but life-threatening complication. Surgical repair is challenging and carries significant risks, particularly in the context of recurrent VSPs. This case study presents a patient with recurrent VSP after initial surgical repair following myocardial infarction.

Case presentation

A 65-year-old male were re-administered to our hospital due to recurrent VSP. He was during follow up after undergone emergency VSP closure surgery 2 months earlier, utilizing the bovine double patch technique via left ventriculostomy. The initial VSP was located in the apical part of the interventricular septum, while the recurrent VSP appeared in the upper middle portion of the interventricular septum (Fig. 1). As the previous patch remained intact, the second surgery employed the bovine double patch technique via right ventriculostomy. The patient’s condition remained stable without the development of heart failure symptoms.

Conclusion

Repairing recurrent VSPs remains a challenge, necessitating the mastery of appropriate approaches to achieve optimal outcomes. Further research and guidelines are required to refine management strategies for recurrent VSPs.

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Title: Successful repair of recurrent ventricular septal perforation after myocardial infarction using double patch technique via right ventriculotomy: a case report
Authors: Khoirur Rijal Ashsholih
Taiichi Takasaki
Mayu Tomota
Taika Tokumoto
Seimei Go
Shogo Emura
Masamichi Ozawa
Shinya Takahashi
Publication date: 01-12-2024
Publisher: BioMed Central
Keywords: Myocardial Infarction
Incision
Published in: Journal of Cardiothoracic Surgery / Issue 1/2024
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-024-02673-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Successful repair of recurrent ventricular septal perforation after myocardial infarction using double patch technique via right ventriculotomy: a case report

Abstract

Background

Case presentation

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusion

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