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John A. Rousou
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Robert H. Breyer
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Ann Thorac Surg 1987;43:665-666
© 1987 The Society of Thoracic Surgeons

Articles

Transaxial Repair of Postinfarction Posterior Ventricular Septal Defect

John A. Rousou, M.D.*, Richard M. Engelman, M.D., Robert H. Breyer, M.D., Peter Whittredge, M.D., Reed Schnider, M.D.

From the Baystate Medical Center, Springfield, MA

Accepted for publication July 15, 1986.

* Address reprint requests to Dr. Rousou, Baystate Medical Center, 759 Chestnut St, Springfield, MA 01199

Repair of a postinfarction posterior ventricular septal defect generally has been performed by ventriculotomy in the infarct zone. This approach carries a significant mortality and morbidity from hemorrhage, extending infarction, or further compromise of ventricular function secondary to suture placement. A successful transatrial repair of a postinfarction posterior ventricular septal defect is presented. The simplicity of this operation and the patient's rapid recovery contrasted remarkably with the transventricular approach used in previous patients.




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