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Emergency surgical closure of postinfarction ventricular septal defect on the beating heart

Piotr Siondalski, Krzysztof Jarmoszewicz^*, Jan Rogowski and Jarosaw Jurowiecki

Department of Cardiac Surgery, Medical University of Gdansk, 80-211 Gdansk, ul. Debinki 7, Poland

*Corresponding author. 80-376 Gdansk, ul. Czerwony Dwor 20/17, Poland. Tel.: +48 058 349 24 03; fax: +48 58 341 76 69; mob.: +48 600 201 644.

E-mail address: jarmo{at}amg.gda.pl (K. Jarmoszewicz).

We present a 77-year-old female with recent myocardial infarction complicated by antero-apical ventricular septal defect (VSD) and quick development of low cardiac output. Using interrupted horizontal mattress sutures VSD closure was successfully performed on the beating heart. Transthoracic echocardiography at the four-month follow-up did not reveal residual VSD.

Key Words: Postinfarction cardiac complication; Off-pump