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dc.contributor.authorPezzella, A. Thomas
dc.date2022-08-11T08:09:35.000
dc.date.accessioned2022-08-23T16:36:37Z
dc.date.available2022-08-23T16:36:37Z
dc.date.issued1992-01-01
dc.date.submitted2009-03-31
dc.identifier.citationTex Heart Inst J. 1992;19(4):297-9.
dc.identifier.issn0730-2347 (Print)
dc.identifier.pmid15227459
dc.identifier.urihttp://hdl.handle.net/20.500.14038/38826
dc.description.abstractWhile operative approaches to postinfarction ventricular septal defect emphasize repair through the infarcted area, we present a case that illustrates the transatrial approach in an acute setting in which no discrete infarct or other abnormality of the free ventricular wall is apparent. In such a setting, transatrial repair of mid-muscular or posterior defects can avert unnecessary compromise of right ventricular function. Avoidance of a right ventriculotomy might also benefit patients with chronic defects complicated by severe lung disease or pulmonary hypertension. However, successful transatrial closure requires full visualization of the defect, avoidance of tricuspid valve damage, thorough debridement of necrotic tissue, and the taking of wide, deep sutures.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=15227459&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC325037/?tool=pubmed
dc.subjectLife Sciences
dc.subjectMedicine and Health Sciences
dc.titleTransatrial closure of postinfarction ventricular septal defect
dc.typeJournal Article
dc.source.journaltitleTexas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital
dc.source.volume19
dc.source.issue4
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/oapubs/1668
dc.identifier.contextkey805489
html.description.abstract<p>While operative approaches to postinfarction ventricular septal defect emphasize repair through the infarcted area, we present a case that illustrates the transatrial approach in an acute setting in which no discrete infarct or other abnormality of the free ventricular wall is apparent. In such a setting, transatrial repair of mid-muscular or posterior defects can avert unnecessary compromise of right ventricular function. Avoidance of a right ventriculotomy might also benefit patients with chronic defects complicated by severe lung disease or pulmonary hypertension. However, successful transatrial closure requires full visualization of the defect, avoidance of tricuspid valve damage, thorough debridement of necrotic tissue, and the taking of wide, deep sutures.</p>
dc.identifier.submissionpathoapubs/1668
dc.contributor.departmentThe Department of Surgery
dc.source.pages297-9


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