title: Repair of postinfarction ventricular septal defect.
abstract: Recently I successfully repaired a necrotic, acute septal defect by modifying the standard intracavitary repair of postinfarction aneurysm. The technique was modified after a patient who had undergone standard intracavitary repair developed a systolic murmur and had to be returned to surgery, where I found that the continuous suture had become detached at the posterior extent of the repair. The pericardial baffle was reattached using interrupted sutures with felt pledgets. As a result of this experience, we have modified our standard intracavitary repair for postinfarction aneurysm to account for the area of necrotic myocardium often associated with acute septal defects.
authors.affiliation: Texas Heart Institute, Houston 77225-0345.
authors.forename: D A
authors.initials: DA
authors.lastname: Cooley
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications*; D011183:Postoperative Complications / Q000503:physiopathology; D012086:Reoperation; D013536:Suture Techniques; D018658:Ventricular Septal Rupture / Q000209:etiology / Q000601:surgery*