Kouichi Hisatomi, MD, Akira Taira, MD, Yukinori Moriyama, MD

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Presentation transcript:

Is direct closure dangerous for treatment of doubly committed subarterial ventricular septal defect? Kouichi Hisatomi, MD, Akira Taira, MD, Yukinori Moriyama, MD The Annals of Thoracic Surgery Volume 67, Issue 3, Pages 756-758 (March 1999) DOI: 10.1016/S0003-4975(99)00004-1

Fig 1 Direct closure performed through a transpulmonary approach. Top panel shows an interrupted polypropylene suture with a pledget inserted from the lower margin of the ventricular septal defect to the pulmonary ring. Bottom panel shows direct closure pushing the prolapsed sinus and cusp back, resulting in improved coaptation of the aortic cusp. (Ao = aorta; PA = pulmonary artery; IVS = interventricular septum.) The Annals of Thoracic Surgery 1999 67, 756-758DOI: (10.1016/S0003-4975(99)00004-1)