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  • Title: Left ventricular external buttress technique for repair of ventricular septal perforation†.
    Author: Hayashi I, Kasahara H, Abe K, Haijima N.
    Journal: Interact Cardiovasc Thorac Surg; 2015 Jan; 20(1):143-5. PubMed ID: 25294774.
    Abstract:
    Because of the difficulty in placing a suture-supporting extension to a non-infarcted area, ventricular septal perforation repair in the presence of large myocardial infarctions can give rise to life-threatening tears or ruptures of the left ventricular free wall. We report a case of successful reinforcement of an infarction area from outside of the left ventricle using a large, thick polytetrafluoroethylene felt patch. After surgery, the patient was weaned from cardiopulmonary bypass without difficulty. Postoperative echocardiography revealed no residual shunting and he was alive without complications 3 years after surgery.
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