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The Annals of Thoracic Surgery, Vol 43, 665-666, Copyright © 1987 by The Society of Thoracic Surgeons

ARTICLES

Transatrial repair of postinfarction posterior ventricular septal defect

JA Rousou, RM Engelman, RH Breyer, P Whittredge and R Schnider

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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