急性心筋梗塞後の心室中隔解離を伴う心室中隔穿孔の1例

Ventricular Septal Dissection Associated with Post-infarction Septal Rupture；Report of a Case

はじめに　急性心筋梗塞後の広範な心室中隔解離から偽心室を形成した心室中隔穿孔（VSP）に対し，infarct exclusion法に準じた修復術を行って救命した症例を経験したので報告する．

The patient was a 73-year-old woman with ventricular septal rupture following acute myocardial infarction. Morphologically, it was associated with ventricular septal dissection and septal pseudoaneurysm formation. She underwent repair of the septal rupture 12 days after the onset of myocardial infarction. The rupture site was excluded with two large bovine pericardial patches after partial resection of the necrotic tissue of the septum. The patches were doubly fixed to the ventricular septum and the free wall with interrupted mattress sutures and with continuous sutures. There was no residual shunt after the operation.