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Publish Date: 1993/01/01
Volume: 7, Issue: 1, Pages: 47-49
Abstract
Sandwich repair with two sheets of equine pericardial patch for acuteposterior postinfarction ventricular septal defect European Journal of CardioThoracic Surgery Volume 7 Issue 1 January 1993 Pages 47–49 https//doiorg/101016/1010794093901485A 74yearold man who had posterior postinfarction ventricular septaldefect was treated successfully by early surgical repair with a sandwichtechnique involving two sheets of equine pericardial patch In thistechnique the ventricular septal defect VSD was exposed through atransinfarction approach The inside patch covered the VSD andventriculotomy from the inside The outside patch generously covered theinfarcted myocardium The two patches completely sandwiched the infarctedmyocardium including the VSD and ventriculotomy with eighteen interruptedsutures This technique ensures strong fixation of the VSD reducing therisk of bleeding and recurrence of VSD and also maintains the proper shapeand size of the left ventricle without the danger of ventricular aneurysmformation
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