Abstract
Objective: Although the introduction of the infarct exclusion technique has improved outcomes for post infarction ventricular septal perforation (VSP), a residual shunt is still problematic. We describe a new technique for repairing the VSP using a double patch repair with infarction exclusion method. Patients and Methods: Between October 2010 and October 2012, 4 patients underwent VSP closure with new technique (male 2, female 2). Three patients had anterior infarction and 1 patient had posteroinferior infarction. Double patch suture for VSP was performed through single ventricle approach and infarct exclusion was added. Results: Double patch repair with infarct exclusion through left ventricle was achieved in three patients. Double patch repair or double patch repair with infarct exclusion through right ventricle was achieved in 1 patient. All patients discharged without any complications and preserved normal shaped ventricular septum and left ventricular function. Conclusion: This new technique can support various size and lesion VSP without residual and may improve outcomes of VSP.
