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Left ventricular approach to multiple ventricular septal defects.

C Zavanella·H Matsuda·F Jara·S Subramanian
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Abstract

Multiple muscular ventricular septal defects were closed through an apical left ventriculotomy in 11 patients. The patients were divided into two groups: Group 1, 8 patients who had transposition of the great arteries, and group 2, 3 patients without transposition. There were 4 deaths in Group 1 and non in Group 2. Two of the deaths were caused by a hypoplastic right ventricle, 1 by airway obstruction, and 1 by heart failure and pulmonary edema in a patient who had additional unrecognized muscular defects. An apical left ventriculotomy provides excellent exposure of the septum. The field is not obscured by trabecular bands or papillary muscles. Although 1 patient died because of residual VSDs, this approach, compared with previously described methods, minimizes the risk of unrecognized defects.

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AnimalsChildChild, PreschoolFemaleHeart Septal Defects, VentricularHeart Valve ProsthesisHeart VentriclesHumansInfantMaleMitral Valve StenosisPulmonary Valve StenosisSwineTransposition of Great VesselsJournal Article

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BibTeXRIS

C Zavanella, H Matsuda, F Jara, S Subramanian. 1977. Left ventricular approach to multiple ventricular septal defects.. https://doi.org/10.1016/s0003-4975(10)63453-4

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