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Ann Thorac Surg 1977;24:291-293
© 1977 The Society of Thoracic Surgeons


Articles

Septum Primum Defect Repair

Richard E. Ward, M.D., Robert M. Anderson, M.D.*, Stanley J. Goldberg, M.D., Hugh D. Allen, M.D., David Sahn, M.D.

From the Department of Surgery, University of Arizona College of Medicine, Tucson, AZ

Accepted for publication March 2, 1977.

* Address reprint requests to Dr. Anderson, University of Arizona College of Medicine, Tucson, AZ 85724

Two technical maneuvers in septum primum defect repair have resulted in improved mitral valve function and security against heart block. One maneuver, critical to restoring mitral competence, is accurate reconstruction of the leading edge of the mitral valve. A second maneuver, suturing the septal defect patch at its inferior aspect to the mitral valve near the annulus instead of to the inferior septal defect margin or to the tricuspid annulus, eliminates the hazard of atrioventricular node or bundle injury.







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Copyright © 1977 by The Society of Thoracic Surgeons.