1. Liberal use of tricuspid valve detachment for transatrial ventricular septal defect closure 
Ryo Aeba, MD, Toshiyuki Katogi, MD, Kenichi Hashizume, MD, Kiyoshi Koizumi, MD, Yoshimi Iino, MD, Mitsuharu Mori, MD, Ryohei Yozu, MD 
The Annals of Thoracic Surgery 
Volume 76, Issue 4, Pages (October 2003)
DOI: /S (03)

2. Fig 1
(A) Schematic illustration of tricuspid valve detachment. The leaflet incision was inferiorly extended apart from the annulus. An extension to the anterior leaflet may be used when necessary. (B) One or two traction sutures are used for complete visualization of the ventricular septal defect. (C) The patch is inserted through the leaflet incision, and secured using a running suture technique. An autologous pericardial strip is used for reinforcement of the annulus, followed by leaflet incision repair.
The Annals of Thoracic Surgery  , DOI: ( /S (03) )

3. Fig 2
Comparison of cardiopulmonary bypass time between the liberal- and prudent-use groups. Error bar indicates SD. TVD(+) = patient with tricuspid valve detachment; TVD(-) = patient without tricuspid valve detachment. p = 0.037, , and for overall, TVD(+), and TVD(-) patients, respectively.
The Annals of Thoracic Surgery  , DOI: ( /S (03) )