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A, Intraoperative image of a single tear (1 cm × 1 cm) of the ventricular septal wall just under the incision (arrow). The left ventricular septum around the ostium of the dissection tract is not fragile and reveals no ischemic change. B, Postoperative echocardiography showing no shunt after VSP repair. C, Contrast-enhanced CT showing successful VSP repair. RV, Right ventricle; LV, left ventricle.
