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Shaun P. Setty, MD, John L. Bass, MD, K. P

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1 Transesophageal Echocardiography Guidance for Repair of Complex Cardiac Injuries 
Shaun P. Setty, MD, John L. Bass, MD, K.P. Madhusoodanan, MD, Kenneth K. Liao, MD  The Annals of Thoracic Surgery  Volume 82, Issue 6, Pages (December 2006) DOI: /j.athoracsur Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 (A) A 4-chamber view image of the flow of the traumatic ventricular septal defect (VSD) (arrow). (B) Systolic image demonstrating no residual flow through the defect after patch closure. The right ventricular free wall is pulled inward by the repair (arrow). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Demonstrates the ventricular septal defect (VSD) in a 4-chamber view. (A) Reveals dropout of echocardiograms from the traumatic VSD, localized near the cardiac apex. (B) A postoperative image of a VSD patch (arrow) has been used to close the defect. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 (A) A 4-chamber view of the mitral valve with a jet of regurgitation entrained along the posterior leaflet and lateral left atrial (LA) wall. (B) Postoperative image after repair of a transected mitral chord with no residual regurgitation. (LV = left ventricle.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 (A) A 2-chamber view of the anterior interventricular groove, demonstrating color flow Doppler (blue) through the proximal left anterior descending coronary artery with flow entering a coronary artery fistula (arrow) at the ventricular septal defect (VSD). (B) An image in the same area, after placement of the VSD patch (arrow), no flow is seen in the now abolished fistula. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

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