Two - patch technique with BioGlue for ventricular septal rupture resulting from acute anterior myocardial infarction

Surgery for postinfarction ventricular septal rupture (VSR) remains associated with high mortality.1-5 In cases of VSR resulting from acute myocardial infarction (AMI), we often encounter challenges in closing the VSR and the repair of the ventriculotomy made through the wide necrotic ventricular muscle. To simplify the procedure and reinforce the suture line, we perform VSR repair with 2 separate patches with BioGlue, which is applied on the suture line between 2 patches. If ventricular free-wall defect following excision of necrotic ventricular muscle becomes large, free-wall repair is performed using an inner patch covered by a prosthetic patch from the outside (Video 1).