Document Detail

Transatrial closure of postinfarction ventricular septal defect.
MedLine Citation:
PMID:  15227459     Owner:  NLM     Status:  PubMed-not-MEDLINE    
While operative approaches to postinfarction ventricular septal defect emphasize repair through the infarcted area, we present a case that illustrates the transatrial approach in an acute setting in which no discrete infarct or other abnormality of the free ventricular wall is apparent. In such a setting, transatrial repair of mid-muscular or posterior defects can avert unnecessary compromise of right ventricular function. Avoidance of a right ventriculotomy might also benefit patients with chronic defects complicated by severe lung disease or pulmonary hypertension. However, successful transatrial closure requires full visualization of the defect, avoidance of tricuspid valve damage, thorough débridement of necrotic tissue, and the taking of wide, deep sutures.
A T Pezzella
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital     Volume:  19     ISSN:  0730-2347     ISO Abbreviation:  Tex Heart Inst J     Publication Date:  1992  
Date Detail:
Created Date:  2004-06-30     Completed Date:  2005-02-03     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  297-9     Citation Subset:  -    
The Department of Surgery, Division of Cardiothoracic Surgery, University of Massachusetts Medical Center, Worcester, Massachusetts 01655, USA.
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