Repair of Postinfarction Ventricular Septal Defect Through the Right Atrium

Abstract

Repair of post infarction posterior ventricular septal defect has generally been performed with a ventriculotomy through the infarcted zone. This approach has a significant mortality and morbidity due to haemorrhage, extension of infarction or further compromise of ventricular function secondary to suture placement. We present a case with delayed repair of a post infarction posterior septal defect using a right atrial approach, where no discrete infarct or other abnormality of the free ventricular wall was found.

Key words

Myocardial infarction - ventricular septal defect - transatrial repair - right atrial approach

References

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