BACKGROUND: To demonstrate the technique of minimally invasive acute postinfarction ventricular septal defect surgical repair combined with multivessel coronary artery bypass grafting.
METHODS: 55 years old man was presented with acute pulmonary edema following acute myocardial infarction 4 days ago. Diagnosis of acute anterior postinfarction ventricular septal defect was obtained. Surgery was performed with cardiopulmonary bypass, transthoracic cross-clamp and blood cardioplegia using infarct exclusion patch technique and multivessel coronary grafting (3 grafts, left internal mammary artery and veins as conduits) through the left anterior minithoracotomy.
RESULTS: Smooth postoperative course with 3 hours of ventilation, 1 days ICU stay and 6 total postoperative hospital stay was achieved.
CONCLUSIONS: A minimally invasive surgical approach for acute postinfarction ventricular septal defect repair is possible and should be considered by surgeons with experience in minimally invasive coronary artery bypass grafting.
