title: Modified approach to close multiple apical ventricular septal defects.
abstract: 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.
authors.affiliation: Clinic for Cardiovascular Surgery, University Hospital, Zürich, Switzerland. rene.pretre@chi.usz.ch
authors.forename: R
authors.initials: R
authors.lastname: Prêtre
authors.forename: P
authors.initials: P
authors.lastname: Benedikt
authors.forename: M I
authors.initials: MI
authors.lastname: Turina
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods*; D004452:Echocardiography; D006345:Heart Septal Defects, Ventricular / Q000000981:diagnostic imaging / Q000601:surgery*; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007223:Infant