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Eur J Cardiothorac Surg 1999;16:683-685
© 1999 Elsevier Science NL

Case report

Modified approach to close multiple apical ventricular septal defects

Clinic for Cardiovascular Surgery, University Hospital, 100 Rämistrasse, 8091 Zürich, Switzerland

Corresponding author. Tel.: +41-12-55-55-08; fax: +41-12-55-44-46
e-mail: rene.pretre{at}chi.usz.ch

The fish-mouth incision of the left ventricular apex is the established incision to access and close apical ventricular septum defect. A long diagonal branch may render this incision dangerous. In such a case, we performed a more anterior incision on the left ventricle, and fashioned a patch to exclude the whole defective area.

Key Words: Ventricular septal defect • Left ventriculotomy

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