Fig. 4

Surgical procedure for reconstruction of LV wall (a) The LV defect was closed using the patch with transmural interrupted mattress sutures to avoid excessive reduction in the ventricular volume. (b) The ventricular edge was closed by interrupted sutures using two Teflon felt strips to reinforce the suture from the outside. (c) A second running suture was used to ensure a secure left ventriculotomy closure placing another Teflon felt strip in the middle of the edge