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

1. Inferior Post Infarct VSD repair Dr. Lalit Kapoor Apollo Hospital, Ranchi India www.heartsurgery.in

2. Inferior Infarct

3. Incision thru the Infarct

4. Infarct opened to locate VSD

5. VSD Defined Suction Tip in the VSD VSD

6. VSD Suction Tip in the VSD

7. Suction Tip in the VSD VSD

8. Patch sown to Mitral valve annulus Patch sown to base of Papillary muscle Continuous Prolene Suture to septum antero-superior to VSD

9. Free Inferior margin of Redundant patricardial patch sown with interrrupted sutures thru the myocardium with pledgets outside

11. Final Closure