Surgical Management of Apical Muscular Ventricular Septal Defects Using the Sandwich Technique

Gu, Qun; Zhou, Jie; Gu, Haotian; Lu, Fengxia; Zhang, Yongshen

doi:10.1111/jocs.12104

Cited by 1 publication

(2 citation statements)

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“…The muscular septal defects located in the apical portion of the septum are difficult to approach even through the right or left ventricle. 3 The presence of the moderator band and the multiple trabeculations in this area hide these defects despite extensive resection of muscular trabeculations. 4 In 2003, Ootaki et al 5 developed a technique for the closure of trabecular muscular defects by sandwiching the septum between two polyester felt patches placed on the left and right ventricles.…”

Section: Discussionmentioning

confidence: 99%

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Surgical closure of multiple large apical ventricular septal defects: how we do it

et al. 2017

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The management of apical ventricular septal defects continues to be challenging because of the difficulty in achieving a complete closure without a left apical ventriculotomy. In this study, we present our innovative technique of closing multiple and/or large muscular apical ventricular septal defects through a right atriotomy. We operated three patients with multiple apical muscular trabecular ventricular septal defects ("Swiss cheese") using a technique that involved exclusion of the right ventricular apex. Their ages ranged between 2 months and 13 years. The VSDs were approached through right atriotomy. The trans right atrial approach using a 5-0 polypropylene purse-string suture or a two-patch procedure is a novel method of closing large apical ventricular septal defects. It was found to be effective with no persistent residual defects and did not have the disadvantages of a ventriculotomy.

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Section: Discussionmentioning

confidence: 99%

“…The muscular septal defects located in the apical portion of the septum are difficult to approach even through the right or left ventricle 3 . The presence of the moderator band and the multiple trabeculations in this area hide these defects despite extensive resection of muscular trabeculations 4 …”

Section: Discussionmentioning

confidence: 99%