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Ann Thorac Surg 1998;65:853-854
© 1998 The Society of Thoracic Surgeons

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Early Repair of Postinfarction Ventricular Septal Rupture: Infarct Exclusion, Septal Stabilization, and Left Ventricular Remodeling

Hans D. de Boer, MD, Wim J. de Boer, MD

Department of Cardiothoracic Surgery, University Hospital Groningen, Groningen, the Netherlands

Accepted for publication September 24, 1997.

Dr Wim J. de Boer, Department of Cardiothoracic Surgery, Groningen University Hospital, PO Box 30.001, 9700 RB Groningen, the Netherlands (e-mail: w.j.de.boer@thorax.azg.nl).

A surgical technique for safe early repair of ventricular septal rupture is described. The technique consists of exclusion of the infarcted area, septal stabilization, and remodeling of the left ventricle with an internal two-patch method. This technique is simple and reliable, and it appeared favorable in an elderly patient group. Six of 7 patients were treated with good results.




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