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New approach to multiple ventricular septal defect closure with intraoperative echocardiography and double patches sandwiching the septum  Christian P.

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Presentation on theme: "New approach to multiple ventricular septal defect closure with intraoperative echocardiography and double patches sandwiching the septum  Christian P."— Presentation transcript:

1 New approach to multiple ventricular septal defect closure with intraoperative echocardiography and double patches sandwiching the septum  Christian P. Brizard, MD, Christian Olsson, MD, James L. Wilkinson, MB, FRACP  The Journal of Thoracic and Cardiovascular Surgery  Volume 128, Issue 5, Pages (November 2004) DOI: /j.jtcvs Copyright © 2004 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 Schematic step-by-step implantation of device.
The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2004 The American Association for Thoracic Surgery Terms and Conditions

3 Figure 2 Custom-made patch with the braided mattress suture inserted. There are two layers: woven Dacron polyester fabric on cameral aspect of patch and thick, soft PTFE felt on endocardial aspect. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2004 The American Association for Thoracic Surgery Terms and Conditions

4 Figure 3 Epicardial intraoperative echocardiographic study in patient with transposition of great arteries before repair demonstrates anterior muscular VSD; VSD is transfixed with guide wire. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2004 The American Association for Thoracic Surgery Terms and Conditions

5 Figure 4 Decision tree for surgical treatment of muscular VSD. PA, Pulmonary artery. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2004 The American Association for Thoracic Surgery Terms and Conditions

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