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Ann Thorac Surg 2007;83:2181
© 2007 The Society of Thoracic Surgeons

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Original Articles: Cardiovascular

Invited commentary

Department of Pediatric Cardiology, Royal Brompton and Harefield NHS Trust, Sydney St, London, SW3 6NP United Kingdom

(Email: a.magee@rbht.nhs.uk).

The first 20% of the full text of this article appears below.

Zhang and colleagues [1] report their experience of mono-valve patch closure in 27 patients with large ventricular septal defects and significantly elevated pulmonary vascular resistance. All patients had a bi-directional shunt on echocardiogram and a total pulmonary vascular resistance of greater than 10 Wood units (ie, above the range in which closure of such a defect is traditionally believed to be safe). The details of the preoperative hemodynamic assessment are rather brief, and the study would be considerably . . . [Full Text of this Article]

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Unidirectional Monovalve Homologous Aortic Patch for Repair of Ventricular Septal Defect With Pulmonary Hypertension

Bo Zhang, Shuming Wu, Jiali Liang, Guangfu Zhang, Guanhua Jiang, Min Zhou, and Xiangling Li
Ann. Thorac. Surg. 2007 83: 2176-2181. [Abstract] [Full Text] [PDF]