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Explain the Infarct Exclusive Technique?
Infarct Exclusive Technique : Left ventriculotomy is done through the infarcted area. No attempt is made to close the ventricular septa1 defect. An oval patch of pericardium that is treated with glutaraldehyde is used with continuous sutures through the non-infracted portion of the septum. This covers the entire area of infracted septum, Suture line is continued to the antero lateral wall of left ventricle to exc1ud.e the ruptured septum completely from left ventricular cavity. The ventriculotomy is closed with two strips of Teflon.
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Pulmonary valve is surface marked at the sternal end of the left 3rd costal cartilage. Aortic valve is surface marked at the sternal margin of the left 3rd intercostal space. Mitra
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