Single Ventricularization Followed by Separation for Infected Ventricular Septal Rupture

We report a total reconstruction of the interventricular septum for infected patches collapsing after repair of a postinfarction ventricular septal rupture (VSR). Patch infection developed after double-patch repair of a VSR in a 56-year-old man. He underwent extensive débridement of the patches and almost all the remaining interventricular septum, resulting in a single ventricle. We performed biventricular reconstruction using 2 patches, tricuspid valve replacement, and pacemaker implantation. Our method can provide reliable biventricular reconstruction even if it becomes a single ventricle by débridement. It can be helpful as a lifesaving operation to repair postinfarction VSR with fatal infection.