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The golden standard surgical maneuver for management of post infarction ventricular septal perforation (VSP) is the David’s infarction exclusion technique, which has led to improve outcomes.1, 2) However, the surgical mortality rate is still high, and this technique is associated with a high incidence of postoperative residual shunt (10% to 40%).3) The hospital death of the ventricular septum perforation (VSP) is reported with 18.5% by Japanease Association for Coronary Artery Surgery in 2012, and the rest of improvement is yet left in the outcomes. The purpose of this retrospective study is to estimate whether technical changes in the surgical procedure would reduce the incidence of postoperative residual shunt and improve operative results. II. Materials and methods

nihon kan shikkan gakkai zasshi

Long Term Outcome of Ventricular Septal Perforation after Post-infaction^|^mdash;The Efficiency of Double-Patch Repair with a Bilateral Ventriculotomy^|^mdash;