The chordal detachment method in a ventricular septal defect repair operation

Mehmet Ali Şahin; Adem Güler; Faruk Cingöz; Celalettin Günay; Mehmet Yokuşoğlu

doi:10.5606/tgkdc.dergisi.2012.124

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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