Off-Pump Repair of a Post-Infarct Ventricular Septal Defect: How Safe Is the Hamburger Procedure With Oximetry Guidance?

We are reporting an off-pump technique for the surgical closure of a post-infarct ventricular septal defect (VSD). Our case report describes the case management of a 75-year-old man, who underwent the Hamburger procedure for the closure of his apical VSD. We are showing that oximetric guided off-pump posterior-anterior septal plication is a safe and effective method for closing post-infarct VSD in hemodynamically unstable patients in the absence of TOE. J Med Cases. 2016;7(5):168-170 doi: http://dx.doi.org/10.14740/jmc2476w