Posterior ventricular septal perforation

We present a case in which the sandwich technique was successfully applied via right ventriculotomy for posterior infarction ventricular septal perforation 2 days after acute posterior myocardial infarction in a 73-year-old male patient. The sealant BioGlue was applied to the space between the two patches instead of gelatin–resorcinol–formaldehyde biological glue. The postoperative course was good, and the patient was discharged on day 24 after surgery with no recognized residual shunt.