A Case Using the Double Patch Repair and Infarct Exclusion Method for Postinfarction Left Ventricular Rupture

Abstract

Postinfarction ventricular septal rupture (VSR) is a serious complication after myocardial infarction. Recently, the mortality of VSR has decreased (from 50% → 25%) since the devising of a suitable operation method. We treated an 81-year-old female with dyspnea. A rupture was found in the inferior septal wall as a result of posterior infarction. In this case, to repair the VSD, double patch repair of the septal rupture and the infarct exclusion method were applied to the plasty of the left ventricle. In addition, after the successful preservation of left ventricular function and establishment of more reliable control of residual shunt, the patient was in a good post-operative state.