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J Thorac Cardiovasc Surg 2008;136:234-235
© 2008 The American Association for Thoracic Surgery
Letter to the Editor |
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 colleagues1
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.2,3
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 (
Figure 1). The patient showed triple-vessel coronary disease and
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