End-ventricular Patch Plasty for Ventricular Septal Perforation with Left Ventricular Aneurysm at the Basal Posterior Wall

Abstract

There have been few case reports of ventricular septal perforation through a left ventricular aneurysm. A 56-year-old male patient was diagnosed with left ventricular aneurysm and ventricular septal perforation located in the posterior wall of the left ventricle 2 weeks after the onset of AMI, and he underwent end ventricular exclusion with single PTFE patch and Teflon felt. The postoperative course was uneventful and the patient was transferred for cardiac rehabilitation 15 days after the operation. This procedure was considered appropriate and reasonable.