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J Thorac Cardiovasc Surg 1999;117:402-403
© 1999 Mosby, Inc.

LETTERS TO THE EDITOR

Technique to repair multiple muscular ventricular septal defects

We read with great interest the article by Kitagawa, Durham, Mosca, and Bove ¹ on the management of multiple ventricular septal defects (VSDs). We congratulate them on their excellent results and also on highlighting some important technical points. We would like to bring to the attention of our colleagues an additional technique, which has been used successfully in 5 patients at our center.

Often, multiple muscular VSDs are associated with a perimembranous VSD or have at least 1 defect that is relatively larger in dimension. We negotiate a right-angled forceps through the perimembranous VSD (via the right atrium). This permits the left ventricular side of the septum to be probed gently to locate the discrete (fewer) left-sided openings in this setting. An oversized stiff Teflon (polytetrafluoroethylene) patch mounted on a 4-0 Prolene suture (Ethicon, Inc, Somerville, . . . [Full Text of this Article]

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