Fig. 3
From: Post-myocardial infarction left ventricular septal dissecting aneurysm: a case report
a Left ventriculotomy showing a small orifice at the ventricular septum. From this orifice, a septal dissecting aneurysm was formed. b Obliteration of the septal dissection. The left ventricle patch was placed over the infarcted septal wall including tear and sutured with pledget 3-0 polypropylene. c The orifice of the septal dissection was located at the middle part of the ventricular septum. d A large suture was passed through the right ventricle from the septum using 3-0 polypropylene with Teflon felt. e, f A fabric oval patch was seated down on the ventricular septum and sutured with pledget 3-0 polypropylene. g A schematic picture of the surgical procedure. The green bar indicates the fabric patch. The small black bars indicate the Teflon pledgets. ( ∗) indicates the orifice of the septal dissection. LV left ventricle, LAD left ascending coronary artery, LCX left circumflex coronary artery, PA pulmonary artery