A modified double-line patch closure technique for anterior postinfarction ventricular septal perforation is described as a simple method to potentially avoid residual shunts.
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May simplify anterior post-MI VSD repair; leaves open whether residual shunts are reduced versus standard techniques.
We describe a modified patch closure technique for repairing subacute anterior ventricular septal perforation. Through a left ventriculotomy, a larger double-layered planar patch is secured with double suture lines to close the defect and cover the ventricular septum. This modification is simple and easy, and may help to avoid a residual shunt.
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Hamamoto et al. (2012) studied this question.
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