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Infarction-exclusion technique with the on-pump beating heart approach for ventricular septal perforation

^a Department of Cardiovascular Surgery, Kyoto University Graduate School of Medicine, 54 Shogoin Kawahara, Sakyo, Kyoto 606-8507, Japan
^b Department of Cardiovascular Surgery, Toyohashi Heart Center, 21-1 Gobudori, Oyama-cho, Toyohashi 441-8530, Japan
^c Department of Cardiovascular Surgery, Yamato Seiwa Hospital, 9-8-2 Minamirinkan, Yamato 242-0006, Japan

Corresponding author. Tel.: +81-75-751-3784; fax: +81-75-751-4960.

E-mail address: shimamo{at}kuhp.kyoto-u.ac.jp (T. Shimamoto).

We report a successful surgical management of postinfarction ventricular septal perforation by infarction-exclusion technique with the on-pump beating heart approach and concomitant coronary artery bypass grafting. The identification of the suture line by direct inspection and finger palpation could be more accurate in determining contractile, thus viable myocardium supporting the patch, and concomitant coronary artery bypass grafting with on-pump beating heart could minimize the cardioplegia-induced myocardial damage.

Key Words: Left ventricle; Cardiomyoplasty; Myocardial infarction