Korean J Thorac Cardiovasc Surg.
2010 Feb;43(1):63-66.
Surgery for a Muscular Type Ventricular Septal Defect via Right Apical Ventriculotomy: A case report
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- 1Department of Thoracic and Cardiovascular Surgery, Gyeongsang National University School of Medicine, Hospital and Institute of Health Sciences, Korea. sangho@gnu.ac.kr
Abstract
- Apical muscular ventricular septal defects (VSDs) are relatively rare conditions among all the different types of VSDs. Apical VSDs are difficult to treat because of they are difficult to visualize through a trans-atrioventricular approach, and especially in infants. Treatment by left ventriculotomy is associated with long-term ventricular dysfunction. Catheter-based intervention still shows less than satisfactory results and this type of intervention may not be possible in small infants. This report describes the benefits of right apical ventriculotomy in terms of successful closure of the lesion without harming the ventricular function.
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