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Ann Thorac Surg 2004;77:342-343
© 2004 The Society of Thoracic Surgeons

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Double-patch technique for postinfarction ventricular septal perforation

^a Department of Cardiothoracic Surgery, Graduate School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan
^b Department of Cardiac Surgery, Kameda Medical Center, Chiba, Japan

Accepted for publication May 29, 2003.

^* Address reprint requests to Dr Tabuchi, Department of Cardiothoracic Surgery, Graduate School of Medicine, Tokyo Medical and Dental University, Yushima 1-5-45, Bunkyo-ku, Tokyo 113-8519, Japan
e-mail: n-tabu.tsrg{at}tmd.ac.jp

A modified infarct-exclusion technique for postinfarction ventricular septal perforation is presented. The perforation is closed directly by a small patch next to the conventional patch, and biological glue is applied between the patches to induce stable polymerization. The patch stuck to the infarcted septum, and no residual shunt was observed in any patient because the wide adhesion prevents excessive pressure on the suture line. Seven of 9 patients in whom this method was used had good results. This technique appears suited for repair of ventricular septal perforations, especially those with extensive fresh infarction.

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