Modified Infarct Exclusion Technique for Repair of Postinfarction Ventricular Septal Rupture.

Repair of ventricular septal rupture after acute myocardial infarction remains a surgical challenge. Several techniques for the closure of these defects have been described. This report discusses an infarct exclusion technique modified from the one described by Tirone David and associates.

Bio-Chimney Technique for Narrow Mitral Annulus in Adults.

Narrow mitral annulus is a common situation faced in adult patients. Choice of prosthetic valve in such cases is unclear. There are reported experiences with supra-annular mitral valve, Manouguian technique, "chimney technique" with mechanical valve and Melody valve, the latter two being in children.