Repair of Postinfarction Ventricular Septal Defect With Joined Endocardial Patches Toshihiko Shibata, MD, Shigefumi Suehiro, MD, PhD, Takumi Ishikawa,

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Repair of Postinfarction Ventricular Septal Defect With Joined Endocardial Patches Toshihiko Shibata, MD, Shigefumi Suehiro, MD, PhD, Takumi Ishikawa, MD, Koji Hattori, MD, PhD, Hiroaki Kinoshita, MD, PhD The Annals of Thoracic Surgery Volume 63, Issue 4, Pages 1165-1167 (April 1997) DOI: 10.1016/S0003-4975(97)00048-9

Fig. 1 Diagram of the finished pericardial pouch. The shape and size are decided after the two bovine patches are sutured to the myocardium. The Annals of Thoracic Surgery 1997 63, 1165-1167DOI: (10.1016/S0003-4975(97)00048-9)

Fig. 2 Comparison of the technique with one (A) and two (B) patches. A running suture is used from the inner side of the patch on the septal side, but from the outer side of the patch on the anterolateral side. The patch must be twisted as shown. (B) Each patch can be sutured from its inner side, and the surgical view is not blocked. The final shape and size of the pouch are decided after the patches are sutured to the myocardium. The Annals of Thoracic Surgery 1997 63, 1165-1167DOI: (10.1016/S0003-4975(97)00048-9)