Document Detail


Left ventricular approach to multiple ventricular septal defects.
MedLine Citation:
PMID:  596966     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
C Zavanella; H Matsuda; F Jara; S Subramanian
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  24     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1977 Dec 
Date Detail:
Created Date:  1978-02-23     Completed Date:  1978-02-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  537-43     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Animals
Child
Child, Preschool
Female
Heart Septal Defects, Ventricular / complications,  surgery*
Heart Valve Prosthesis
Heart Ventricles
Humans
Infant
Male
Mitral Valve Stenosis / complications,  surgery
Pulmonary Valve Stenosis / complications,  surgery
Swine
Transposition of Great Vessels / complications,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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