Surgical Technique for Massive Shunt after Repair of Post-infarction Ventricular Perforation
Yamauchi, T.; Takano, H.; Kin, K.; Takeuchi, M.
Kyobu Geka. Japanese Journal of Thoracic Surgery 69(12): 999-1002
2016
ISSN/ISBN: 0021-5252 PMID: 27821824 Document Number: 688533
We report a case of large anterior septal perforation (40×20 mm) immediately following repair of ventricular septal perforation( 9×9 mm) with the infarction exclusion technique. The large perforation was successfully repaired through a left ventriculotomy with a combined double patch/cone-shaped patch technique. This technique can be effective not only in cases of large laceration of ventricular septum as a consequence of inappropriate repair but also of large septal perforation with extensive fragility of the septal myocardium.