[An original technic for closure of a postinfarction interventricular communication].

An original technique has been successfully used to treat a case of major interventricular communication consecutive to a recent, wide antero-septo-apical infarction. This technique derives directly from Guilmet's reconstructive aneurysmoplasty used for chronic fibrous aneurysms of the left ventricle. The distended anterior aspect of the left ventricle was resected, the left border of the ventriculotomy was lowered and attached to the healthy part of the septum and the right border was brought over and sutured to the lateral aspect of the ventricle. The interventricular communication was therefore closed and excluded from the left ventricular cavity, thus theoretically reducing the risk of residual shunt. The post-operative period was uneventful.