# The left ventricular “lining” technique for repair of ischemic ventricular septal rupture

## TL;DR

This paper introduces a new surgical technique for repairing heart damage caused by ischemic ventricular septal rupture.

## Contribution

The novel technique uses a left ventriculotomy with a continuous patch to minimize surgical complications.

## Key findings

- The technique uses a large endoventricular patch as a lining for the septal and free wall defects.
- Both defects are closed in double layers with a single continuous patch.
- The method reduces ventriculotomy-related morbidity while improving repair outcomes.

## Abstract

We describe a technique to repair ischemic ventricular septal rupture via a left ventriculotomy. It employs a large endoventricular patch as a “lining” over the locally patched septal defect and the free wall defect which is going to be roofed with an external patch. Both defects are then closed in double layers, holding a single continuous patch. The technique enhances the advantage of the left ventriculotomy in the repair and minimizes ventriculotomy-related morbidity.