Luís Roberto Gerola, MD, PhD, Hyong C

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Presentation transcript:

A new surgical technique for ventricular septal rupture closure after myocardial infarction Luís Roberto Gerola, MD, PhD, Hyong C. Kim, MD, Armindo Pereira Filho, MD, Wesley Araújo, MD, Paulo César Santos, MD, Enio Buffolo, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 134, Issue 4, Pages 1073-1076 (October 2007) DOI: 10.1016/j.jtcvs.2007.05.063 Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Drawing of a cross-section of the heart showing left ventricle (LV), right ventricle (RV), pericardial patch, left ventriculotomy and ventricular septal rupture (VSR). A stitch from the free wall of the right ventricle passes through the septum and pericardial patch and reaches to the free wall of the left ventricle. The Journal of Thoracic and Cardiovascular Surgery 2007 134, 1073-1076DOI: (10.1016/j.jtcvs.2007.05.063) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 After tying the stitches, there is a juxtaposition of the free wall of the right ventricle and the free wall of the left ventricle over the ventricular septal rupture and the pericardial patch region. RV, Right ventricle; LV, left ventricle. The Journal of Thoracic and Cardiovascular Surgery 2007 134, 1073-1076DOI: (10.1016/j.jtcvs.2007.05.063) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Preoperative echocardiogram showing left ventricular dilatation, place of ruptured ventricular septum, and EF: 0,33. EF, Ejection fraction. The Journal of Thoracic and Cardiovascular Surgery 2007 134, 1073-1076DOI: (10.1016/j.jtcvs.2007.05.063) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Postoperative echocardiogram showing the area of ventricular juxtaposition of the right and left ventricular wall. In this case, there is a small flow from LV to apex. LV, Left ventricle. The Journal of Thoracic and Cardiovascular Surgery 2007 134, 1073-1076DOI: (10.1016/j.jtcvs.2007.05.063) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions