title: Cruciate Fenestration in Ventricular Septal Defect Patch for High-Risk Patients With High Pulmonary Vascular Resistance.
abstract: Late presentation of patients with large ventricular septal defect (VSD) and elevated pulmonary vascular resistance (PVR) is not uncommon in developing countries. Surgical VSD closure in these patients carries risks of persistent pulmonary hypertension, right ventricular failure, and mortality. Several techniques for creation of valved patches or fenestrated patches have been developed to address these issues. We have successfully used a simple and easily reproducible technique in which a cruciate fenestration is created in the patch used for VSD closure.
authors: Department of Paediatric Cardiology, Frontier Lifeline and Dr. K. M. Cherian Heart Foundation, Chennai, Tamil Nadu, India anuradhasridhar9@gmail.com.
authors: Anuradha
authors: A
authors: Sridhar
authors: Cardiothoracic Surgery, Frontier Lifeline and Dr. K. M. Cherian Heart Foundation, Chennai, Tamil Nadu, India.
authors: Anto
authors: A
authors: Sahayaraj
authors: Department of Paediatric Cardiology, Frontier Lifeline and Dr. K. M. Cherian Heart Foundation, Chennai, Tamil Nadu, India.
authors: Nithya
authors: N
authors: Lakshmi
authors: Department of Paediatric Cardiology, Frontier Lifeline and Dr. K. M. Cherian Heart Foundation, Chennai, Tamil Nadu, India.
authors: Farida
authors: F
authors: Farzana
authors: Department of Paediatric Cardiology, Frontier Lifeline and Dr. K. M. Cherian Heart Foundation, Chennai, Tamil Nadu, India.
authors: Raghavan
authors: R
authors: Subramanyan
authors: International Children's Heart Fund, Worcester, MA, USA.
authors: A Thomas
authors: AT
authors: Pezzella
authors: Cardiothoracic Surgery, Frontier Lifeline and Dr. K. M. Cherian Heart Foundation, Chennai, Tamil Nadu, India.
authors: Kotturathu Mammen
authors: KM
authors: Cherian
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods*; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000601:surgery*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D014655:Vascular Resistance / Q000502:physiology*
keywords: fenestration; pulmonary arterial hypertension; pulmonary vascular resistance; right ventricular failure; ventricular septal defect