The transatrial approach with tricuspid valve replacement is a viable alternative for repairing posterior post-infarct ventricular septal rupture, avoiding complications associated with ventriculotomy.
Transatrial repair may be feasible for posterior VSR; leaves open need for comparative trials before wider use.
Ventricular septal rupture (VSR) is a disastrous mechanical complication of myocardial infarction. Although several surgical interventions have been developed, mortality due to surgical management remains high, especially in the case of posterior VSR. We report a successful case of repair of posterior VSR using an alternative transatrial approach to avoid the complications related to ventricular incision.
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Cho et al. (2016) studied this question.
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