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Ann Thorac Surg 1976;21:492-498
© 1976 The Society of Thoracic Surgeons


Articles

Successful Closure of Ventricular Septal Defect through a Left-Sided Ventriculotomy in Corrected Transposition of the Great Vessels

Isao Nagai, M.D., Yasunaru Kawashima, M.D.*, Tuyoshi Fujita, M.D., Toru Mori, M.D., Hisao Manabe, M.D.

First Department of Surgery, Osaka University Medical School, Osaka, Japan

Accepted for publication October 13, 1975.

* Address reprint requests to Dr. Kawashima, First Department of Surgery, Osaka University Medical School, Osaka, Japan

Corrected transposition of the great vessels is often associated with other cardiac anomalies. Ventricular septal defect (VSD) is the most common among them. Closure of a VSD is usually performed through a right-sided ventriculotomy. We had previously closed the VSD through the right-sided ventricle in 2 patients with corrected transposition of the great vessels and in 2 others with double-outlet right ventricle with ventricular inversion, which resulted in complete heart block. Recently we have closed the VSD through the left-sided ventricle in 3 patients with corrected transposition, and no block resulted.




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