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  • Title: Postinfarction inferior ventricular septal rupture: surgical repair through the right atrium.
    Author: Moorjani N, Viola N, Haw M.
    Journal: J Card Surg; 2009; 24(2):218-20. PubMed ID: 19267836.
    Abstract:
    Operative mortality of inferior postinfarct ventricular septal rupture (VSR) remains high. Previous reports have described a transatrial approach to access the VSR avoiding a ventriculotomy, thereby reducing the potential risks of myocardial damage, hemorrhage, and ventricular arrhythmias. The transatrial right ventricular patch or direct suture repair, however, is exposed to the left-to-right pressure gradient and is at risk of residual shunting. In this report, a transatrial approach is used, with direct suture of the VSR, patch exclusion of the right ventricle, and biological glue instillation to protect the patch from left ventricular pressures.
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