ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
The chordal detachment method in a ventricular septal defect repair operation
Mehmet Ali Şahin1, Adem Güler1, Faruk Cingöz1, Celalettin Günay1, Mehmet Yokuşoğlu2
1Department of Cardiovascular Surgery, Gülhane Military Medical Faculty, Ankara, Turkey
2Department of Cardiology, Gülhane Military Medical Faculty, Ankara, Turkey
DOI : 10.5606/tgkdc.dergisi.2012.124
Ventricular septal defect (VSD) is typically repaired via a transatrial approach, which usually provides a good exposure for the assessment and repair of VSDs, generally the perimembranous type. Fibrosis and chordal fusion may surround the lesion, and these malstructures may compromise to reach VSDs. In this article, we present a case with the perimembraneous-type of VSD surrounded by a tricuspid septal leaflet and many thick chordal attachments. The attachments were carefully dissected, and the VSD was successfully exposed. The defect was then repaired using a Gore-Tex patch.
Keywords : Chordal detachment; ventricular septal defect repair
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