Repair of postinfarction ventricular septal rupture with a tailored, 3-dimensional patch.

We modified the technique of patch repair for postinfarction ventricular septal rupture by beginning with a larger-than-needed circular patch and later trimming it into a 3-dimensional patch to match the size of the exclusion area. This technique makes it easier to determine the optimal size for the patch, and the completed 3-dimensional shape fits well inside of the left ventricle.