A 53-year-old man who suffered acute inferior myocardial infarction was recently transferred to our hospital due to occlusion of the right coronary artery. The results of the echocardiogram revealed a basal ventricular septal rupture (VSR). Since hemodynamic instability had been observed, we performed emergency surgery 5 days after the myocardial infarction began. We used a recently developed novel technique to treat this case: a patent ductus arteriosus occluder placed on the left ventricular side of the septum to close the VSR site, placed directly via the transaortic approach. Simple intermittent mattress sutures with gaskets were used for further fixation. The mild residual shunt was detected postoperatively. The patient was discharged 3 weeks after surgery.

一名 53 岁男性，因右冠状动脉闭塞，近期因急性下壁心肌梗死转入我院。超声心动图结果显示基底室间隔破裂 (VSR)。由于观察到血流动力学不稳定，我们在心肌梗死开始 5 天后进行了急诊手术。我们使用最近开发的新技术来治疗这种情况：将动脉导管未闭封堵器放置在隔膜的左心室侧以关闭 VSR 部位，直接通过经主动脉入路放置。使用带垫圈的简单间歇褥式缝合线进一步固定。术后发现轻度残余分流。患者术后3周出院。