Repair of a Post-Infarction VSD

This video demonstrates the repair of a post-infarction ventricular septal defect (VSD). Initially, attempts were made at closure in the catheterization lab, but this was unsuccessful, and there was also severe tricuspid regurgitation, so the patient was brought to the operating room. A femoral venous cannula was placed to allow the inferior vena cava (IVC) to be cross-clamped with a Chitwood clamp, providing more operative space. A superior vena cava (SVC) cannula was also placed and snared. The right atrium was opened, and the VSD was inspected from the right atrium. A view was also obtained through the aortic valve, but it was not adequate. An incision was made into the right ventricle, and very large zero Ethibond pledgeted sutures were placed around the defect, and a patch was placed. The tricuspid valve was then repaired, and both the right ventricle and right atrium were closed.  

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