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Ann Thorac Surg 1999;67:1758-1759
© 1999 The Society of Thoracic Surgeons

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Commentaries

^a Division of Pediatric Cardiovascular Surgery, University of Michigan, F7830 Mott Children’s Hospital, 1500 E Medical Center Dr, Ann Arbor, MI 48109, USA

e-mail: elbove@umich.edu

Invited commentary

The management of the patient with multiple muscular ventricular septal defects (VSDs) remains controversial. The less than optimal results reported in most prior series result, in part, from the difficulties encountered in distinguishing the true margins of the VSDs from muscular trabeculations when viewed from the right ventricular side of the septum. We have reported the use of an oversized patch inserted through the tricuspid valve onto the left ventricular side of the septum as . . . [Full Text of this Article]

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