Transatrial closure of postinfarction ventricular septal defect

UMMS Affiliation

The Department of Surgery

Publication Date


Document Type



Life Sciences | Medicine and Health Sciences


While operative approaches to postinfarction ventricular septal defect emphasize repair through the infarcted area, we present a case that illustrates the transatrial approach in an acute setting in which no discrete infarct or other abnormality of the free ventricular wall is apparent. In such a setting, transatrial repair of mid-muscular or posterior defects can avert unnecessary compromise of right ventricular function. Avoidance of a right ventriculotomy might also benefit patients with chronic defects complicated by severe lung disease or pulmonary hypertension. However, successful transatrial closure requires full visualization of the defect, avoidance of tricuspid valve damage, thorough debridement of necrotic tissue, and the taking of wide, deep sutures.


Tex Heart Inst J. 1992;19(4):297-9.

Journal/Book/Conference Title

Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital

Related Resources

Link to Article in PubMed

PubMed ID