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Transaortic approach for the repair of the basal ventricular septal rupture

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Abstract

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.

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Acknowledgements

We thank LetPub (www.letpub.com) for its linguistic assistance during the preparation of this manuscript.

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  1. Department of Cardiovascular Surgery, The First Affiliated Hospital of Zhengzhou University, No. 1 Jianshe Road, Erqi District, Zhengzhou, 450052, Henan Province, China

    Jiawei Zhou & Chao Liu

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  1. Jiawei Zhou
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  2. Chao Liu
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Correspondence to Chao Liu.

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Zhou, J., Liu, C. Transaortic approach for the repair of the basal ventricular septal rupture. Gen Thorac Cardiovasc Surg 70, 181–183 (2022). https://doi.org/10.1007/s11748-021-01736-9

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  • DOI: https://doi.org/10.1007/s11748-021-01736-9

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