[Ventricular Septal Dissection Associated with Post-infarction Septal Rupture;Report of a Case].

: The patient was a 73-year-old woman with ventricular septal rupture following acute myocardial infarction. Morphologically, it was associated with ventricular septal dissection and septal pseudoaneurysm formation. She underwent repair of the septal rupture 12 days after the onset of myocardial infarction. The rupture site was excluded with two large bovine pericardial patches after partial resection of the necrotic tissue of the septum. The patches were doubly fixed to the ventricular septum and the free wall with interrupted mattress sutures and with continuous sutures. There was no residual shunt after the operation.