Versatility of the endoventricular patch technique in repair of postinfarction left ventricular rupture

Sartipy U, Albåge A
Correspondence: Dr Ulrik Sartipy, ulrik.sartipy@karolinska.se

ABSTRACT
Surgical ventricular restoration by the endoventricular patch technique (Dor procedure) is a surgical option designed to restore left ventricular shape and volume in patients with ischaemic heart disease and heart failure. Surgical ventricular restoration includes complete revascularisation, left ventricular reconstruction to restore near-normal shape and volume, and when necessary, mitral valve repair and surgery for ventricular tachycardia. However, the endoventricular patch technique is versatile and can also be used in other cases. We report the successful use of this technique in two emergent postinfarction cases, one with left ventricular free-wall rupture and one with ventricular septal defect. The aim of these case reports is to illustrate the flexibility of the endoventricular patch technique.

Keywords: Dor procedure, endoventricular patch plasty, left ventricular rupture, postinfarction ventricular septal defect
Singapore Med J 2008; 49(5): e134-e136