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Ann Thorac Surg 1987;44:558-559
© 1987 The Society of Thoracic Surgeons

Articles

An Easy and Safe Technique for Ventricular Septal Defect Closure in Hearts with Atrioventricular Discordant Connection and Dextrocardia

Lawrence S. Fox, M.D.*

From the Department of Surgery, Tulane University School of Medicine, New Orleans, LA

Accepted for publication June 4, 1987.

* Address reprint requests to Dr. Fox, Department of Surgery, Tulane University School of Medicine, 1430 Tulane Ave, New Orleans, LA 70112

When ventricular septal defect exists in hearts with atrioventricular discordant connection and dextrocardia, closure of the defect can most easily be accomplished by exposure through the left atrium and retracted tricupsid valve leaflets. This approach provides good visualization of all aspects of the defect and keeps the suture line away from the conduction tissue, thus reducing the possibility of iatrogenic heart block.






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