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Published byRisto Aapo Elstelä
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Spiral ventricular septation Ing-Sh Chiu, MD, PhD, MDiv, Shyh-Jye Chen, MD, PhD, Meng-Luen Lee, MD, Mei-Hwan Wu, MD, PhD, Robert H. Anderson, BSc, MD, FRCPath The Journal of Thoracic and Cardiovascular Surgery Volume 146, Issue 3, Pages (September 2013) DOI: /j.jtcvs Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions
Figure 1 Operative procedures included enlargement of the ventricular septal defect by resection of its anterosuperior border (arrow), debanding, and ventricular septation through insertion of a straight composite patch with a total of 18 stitches with pledgets (arrowhead), including 3 transapical stitches through the anteroseptal free wall. Ao, Aorta; LA, left atrium; PT, pulmonary trunk; RA, right atrium; LAVV, left atrioventricular valve; RAVV, right atrioventricular valve; LV, left ventricle. The Journal of Thoracic and Cardiovascular Surgery , DOI: ( /j.jtcvs ) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions
Figure 2 Follow-up cardiac computed tomographic imaging with 3-dimensional volume rendering (Video 1) 14 years after the insertion of a straight prosthetic patch attached proximally between the ventricular inlets and distally between the ventricular outlets. A, Right anterior oblique view; B, anteroposterior view; C, left anterior oblique view. The septum between the newly separated left and right sides of the initial dominant left ventricle, shown in sky blue, was unable to expand yet has an obvious spiral configuration, as does the remainder of the new septum, which is growable myocardium, as can be inferred from the location of the 3 calcified pledgets (3 arrowheads in A), which were used to hold 3 transapical stitches. Ao, Aorta; PA, pulmonary artery; LA, left atrium; RA, right atrium; RV, right ventricle; LV, left ventricle. The Journal of Thoracic and Cardiovascular Surgery , DOI: ( /j.jtcvs ) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions
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