Post-MI VSR repair by infarct exclusion technique was originally described by Cooley et al. has undergone many modifications and has been found to be a simple and reproducible technique with improved outcomes. The important advantages of this technique are:
a) it maintains the geometry of the ventricle,
b) it does not require reaction of the friable infarcted myocardium, and
c) it avoids tension on the friable myocardium, which in turn prevents bleeding and residual leak.
References
- Cooley DA. Repair of postinfarction ventricular septal defect. J Card Surg. 1994;9:427–429.
- David TE, Armstrong S. Surgical repair of postinfarction ventricular septal defect by infarct exclusion. Semin Thorac Cardiovasc Surg. 1998;10:105–110.
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