The infarction exclusion technique using endoventricular continuous
sutures for ventricular septal rupture after acute myocardial infarction may be
a difficult surgical technique and create residual shunt due to fragile
myocardium. We present a patient of ventricular septal rupture (VSR) after
extensive anteroseptal myocardial infarction who underwent successful repair
using a modified infarction exclusion
technique. In our procedure interrupted mattress sutures were placed
through the ventricular wall in a way as to exclude the VSR and infarcted
muscle of the left ventricle. A heterogeneous pericardial patch is sutured to
healthy endocardium in the free and septal wall all around the infarcted area.
We describe a procedure for repairing postinfarction VSR, by the infarction
exclusion technique with total transmural sutures (TTS) method.
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