HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by McDaniel, N. Articles by Kron, I. L. Search for Related Content PubMed PubMed Citation Articles by McDaniel, N. Articles by Kron, I. L.

The Annals of Thoracic Surgery, Vol 47, 593-594, Copyright © 1989 by The Society of Thoracic Surgeons

ARTICLES

Repair of large muscular ventricular septal defects in infants employing left ventriculotomy

N McDaniel, HP Gutgesell, SP Nolan and IL Kron
Department of Pediatrics, University of Virginia Medical Center, Charlottesville.

The approach to muscular ventricular septal defect has been controversial. Traditional approaches have included pulmonary artery banding or right ventriculotomy. Left ventriculotomy has been employed in older children because of the ease of exposure in the absence of trabeculations, but concern has been raised regarding potential loss of left ventricular function. Four infants less than 4 months of age underwent repair of a large muscular ventricular septal defect by left ventriculotomy. One infant had no associated defects; 2 had undergone previous coarctation repair (1 with pulmonary artery banding); and 1 had a large secundum atrial septal defect. All had congestive heart failure refractory to maximal medical management. All patients survived, and there was no myocardial dysfunction. Echocardiographic indices of ventricular function 3 to 24 months postoperatively were normal (mean shortening fraction, 32.5%). Left ventriculotomy with patch closure of the ventricular septal defect provides a simple approach to a large muscular ventricular septal defect in infants with heart failure.

This article has been cited by other articles:

				U. Myhre, B. W. Duncan, R. B. B. Mee, R. Joshi, S. G. Seshadri, O. Herrera-Verdugo, and G. L. Rosenthal Apical right ventriculotomy for closure of apical ventricular septal defects Ann. Thorac. Surg., July 1, 2004; 78(1): 204 - 208. [Abstract] [Full Text] [PDF]

				M. Okubo, L. N. Benson, D. Nykanen, A. Azakie, G. Van Arsdell, J. Coles, and W. G. Williams Outcomes of intraoperative device closure of muscular ventricular septal defects Ann. Thorac. Surg., August 1, 2001; 72(2): 416 - 423. [Abstract] [Full Text] [PDF]

				J. D.R. Thomson, J. L. Gibbs, and C. Van Doorn Cardiac catheter guided surgical closure of an apical ventricular septal defect Ann. Thorac. Surg., October 1, 2000; 70(4): 1402 - 1404. [Abstract] [Full Text] [PDF]

				G. Stellin, M. Padalino, O. Milanesi, M. Rubino, D. Casarotto, R. Van Praagh, and S. Van Praagh Surgical closure of apical ventricular septal defects through a right ventricular apical infundibulotomy Ann. Thorac. Surg., February 1, 2000; 69(2): 597 - 601. [Abstract] [Full Text] [PDF]

				F. Seddio, V. M. Reddy, D. B. McElhinney, W. Tworetzky, N. H. Silverman, and F. L. Hanley MULTIPLE VENTRICULAR SEPTAL DEFECTS: HOW AND WHEN SHOULD THEY BE REPAIRED? J. Thorac. Cardiovasc. Surg., January 1, 1999; 117(1): 134 - 140. [Abstract] [Full Text] [PDF]

				L. R. DiBernardo, P. M. Kirshbom, L. A. Skaryak, R. L. Quarterman, R. L. Johnson, M. J. Davies, J. W. Gaynor, and R. M. Ungerleider Acute functional consequences of left ventriculotomy Ann. Thorac. Surg., July 1, 1998; 66(1): 159 - 165. [Abstract] [Full Text] [PDF]

				T. Kitagawa, L. A. Durham III, R. S. Mosca, and E. L. Bove Techniques and results in the management of multiple ventricular septal defects J. Thorac. Cardiovasc. Surg., April 1, 1998; 115(4): 848 - 856. [Abstract] [Full Text] [PDF]