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Eur J Cardiothorac Surg 2001;19:945-948
© 2001 Elsevier Science NL

Case report

Postinfarction ventricular septal perforation repair with endoventricular circular patch plasty using double patches and gelatin–resorcinol–formaldehyde biological glue

Department of Thoracic and Cardiovascular Surgery, Tokyo Medical and Dental University, Tokyo, Japan

Received 11 October 2000; received in revised form 22 February 2001; accepted 30 March 2001.

Corresponding author. Department of Cardiothoracic Surgery, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-0034, Japan. Tel.: +81-3-5803-5270; fax: +81-3-5803-0141
e-mail: hiroyuki-tanaka.tsrg{at}med.tmd.ac.jp

We describe a technique for repairing the ventricular septal perforation 10 days post acute anteroseptal myocardial infarction using the modified infarction exclusion method. The repair involves endoventricular circular patch plasty and application of gelatin–resorcinol–formaldehyde biological glue in the space between a Teflon felt patch on the infarcted septum and a bovine pericardial patch in the left ventricular cavity. Its use in a patient resulted in an almost normal shaped interventricular septum and left ventricular cavity as well as normal left ventricular function.

Key Words: Ventricular septal perforation • Surgical repair • Endoventricular circular patch plasty • Gelatin–resorcinol–formaldehyde biological glue

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