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J Thorac Cardiovasc Surg 2008;136:234-235
© 2008 The American Association for Thoracic Surgery


Letter to the Editor

New technique for postinfarction ventricular septal rupture

Marco Pocar, MD, PhD, Davide Passolunghi, MD, Francesco Donatelli, MD

Cattedra di Cardiochirurgia, Università degli Studi di Milano, IRCCS MultiMedica, Milano, Italy

The first 20% of the full text of this article appears below.

To the Editor:

We congratulate Gerola and colleagues1Go for the outstanding results reported with biventricular free wall juxtaposition to secure postinfarction ventricular septal rupture (VSR) patch repair and would like to add a few comments.

Although not previously described with respect to the left ventricular free wall, right free wall plication over the septum for additional reinforcement of patch repair is conceptually similar and not an entirely new idea.2,3Go We used the latter approach in a 60-year-old man in whom a modified infarct exclusion operation was performed to repair an anterior VSR with associated oozing-type left ventricular anterior free wall rupture (Go Figure 1). The patient showed triple-vessel coronary disease and . . . [Full Text of this Article]







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