AUTOLOGOUS PERICARDIAL PATCH REPAIR FOR POSTINFARCTION VENTRICULAR SEPTAL PERFORATION

Surgical therapy for ventricular septal perforation associated with ac ute myocardial infarction is thought to reduce ventricular chamber vol ume and distort the ventricle due to excision of the myocardium. A 69- year-old man underwent elective surgery that used an autologous perica rdial patch without excising the myocardium. Intraventricular repair u sing the autologous pericardial patch enabled preservation of ventricu lar geometry and chamber volume and did not result in a depression of cardiac function. Moreover, it has been reported that this surgical pr ocedure protects against suture bleeding and decreases the amount of f oreign material required, thus possibly reducing the risk of infectiou s complications.