Post MI VSD Inferior

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Graphic case presentation of a Post MI (Inferior) VSD repair by Exclusion technique

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Post MI VSD Inferior

  1. 1. Inferior Post Infarct VSD repair Dr. Lalit Kapoor Apollo Hospital, Ranchi India www.heartsurgery.in
  2. 2. Inferior Infarct
  3. 3. Incision thru the Infarct
  4. 4. Infarct opened to locate VSD
  5. 5. VSD Defined Suction Tip in the VSD VSD
  6. 6. VSD Suction Tip in the VSD
  7. 7. Suction Tip in the VSD VSD
  8. 8. Patch sown to Mitral valve annulus Patch sown to base of Papillary muscle Continuous Prolene Suture to septum antero-superior to VSD
  9. 9. Free Inferior margin of Redundant patricardial patch sown with interrrupted sutures thru the myocardium with pledgets outside
  10. 10. <ul><li>Thus the VSD is excluded </li></ul><ul><li>Soft Teflon Felt used to butress the Closure of the LV </li></ul>
  11. 11. Final Closure

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