New infarct exclusion repair using cohesive double-patch closer.

Ventricular septal perforation (VSP) is a serious complication of acute myocardial infarction despite improved procedures for closing the ventricular septal wall defect and/or excluding the infarct. The patient in the present case had VSP after posterior wall infarction and was treated successfully with a new and simple procedure that used a double-patch closure combined with an infarct exclusion technique. The left ventricular patch was attached cohesively to the septal wall and the infarcted area was excluded without reducing the left ventricular cavity.