title: Surgical closure of an apical ventricular septal defect through a septal ventriculotomy.
abstract: Here we report a 3-year and 7-month-old boy with a muscular ventricular septal defect at the apex. At age 7 months, pulmonary artery banding was performed. Surgical treatment consisted of double patch closure via septal ventriculotomy and a main pulmonary artery plasty by an end-to-end anastomosis with cardiopulmonary bypass. There was no residual leak of the ventricular septal defect or ventricular aneurysm and the postoperative course was good. This technique could be a useful surgical option for repair of apical muscular ventricular septal defects.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Mie University School of Medicine, Mie, Japan.
authors.forename: Shin
authors.initials: S
authors.lastname: Takabayashi
authors.forename: Shin
authors.initials: S
authors.lastname: Shomura
authors.forename: Masaki
authors.initials: M
authors.lastname: Kajimoto
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Sawada
authors.forename: Kentaro
authors.initials: K
authors.lastname: Inoue
authors.forename: Hideto
authors.initials: H
authors.lastname: Shimpo
mesh_terms: D000714:Anastomosis, Surgical; D006348:Cardiac Surgical Procedures / Q000379:methods*; D002315:Cardiopulmonary Bypass; D002675:Child, Preschool; D003937:Diagnosis, Differential; D006345:Heart Septal Defects, Ventricular / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D011859:Radiography; D014463:Ultrasonography