Ventricular septal defect surgical repair

Revision as of 17:20, 20 August 2012 by WikiBot (talk | contribs) (Robot: Automated text replacement (-{{SIB}} +, -{{EH}} +, -{{EJ}} +, -{{Editor Help}} +, -{{Editor Join}} +))
(diff) ← Older revision | Latest revision (diff) | Newer revision → (diff)
Jump to navigation Jump to search

WikiDoc Resources for Ventricular septal defect surgical repair

Articles

Most recent articles on Ventricular septal defect surgical repair

Most cited articles on Ventricular septal defect surgical repair

Review articles on Ventricular septal defect surgical repair

Articles on Ventricular septal defect surgical repair in N Eng J Med, Lancet, BMJ

Media

Powerpoint slides on Ventricular septal defect surgical repair

Images of Ventricular septal defect surgical repair

Photos of Ventricular septal defect surgical repair

Podcasts & MP3s on Ventricular septal defect surgical repair

Videos on Ventricular septal defect surgical repair

Evidence Based Medicine

Cochrane Collaboration on Ventricular septal defect surgical repair

Bandolier on Ventricular septal defect surgical repair

TRIP on Ventricular septal defect surgical repair

Clinical Trials

Ongoing Trials on Ventricular septal defect surgical repair at Clinical Trials.gov

Trial results on Ventricular septal defect surgical repair

Clinical Trials on Ventricular septal defect surgical repair at Google

Guidelines / Policies / Govt

US National Guidelines Clearinghouse on Ventricular septal defect surgical repair

NICE Guidance on Ventricular septal defect surgical repair

NHS PRODIGY Guidance

FDA on Ventricular septal defect surgical repair

CDC on Ventricular septal defect surgical repair

Books

Books on Ventricular septal defect surgical repair

News

Ventricular septal defect surgical repair in the news

Be alerted to news on Ventricular septal defect surgical repair

News trends on Ventricular septal defect surgical repair

Commentary

Blogs on Ventricular septal defect surgical repair

Definitions

Definitions of Ventricular septal defect surgical repair

Patient Resources / Community

Patient resources on Ventricular septal defect surgical repair

Discussion groups on Ventricular septal defect surgical repair

Patient Handouts on Ventricular septal defect surgical repair

Directions to Hospitals Treating Ventricular septal defect surgical repair

Risk calculators and risk factors for Ventricular septal defect surgical repair

Healthcare Provider Resources

Symptoms of Ventricular septal defect surgical repair

Causes & Risk Factors for Ventricular septal defect surgical repair

Diagnostic studies for Ventricular septal defect surgical repair

Treatment of Ventricular septal defect surgical repair

Continuing Medical Education (CME)

CME Programs on Ventricular septal defect surgical repair

International

Ventricular septal defect surgical repair en Espanol

Ventricular septal defect surgical repair en Francais

Business

Ventricular septal defect surgical repair in the Marketplace

Patents on Ventricular septal defect surgical repair

Experimental / Informatics

List of terms related to Ventricular septal defect surgical repair

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] and Leida Perez, M.D.

Associate Editor-in-Chief: Keri Shafer, M.D. [2]


Surgical technique for Repair of Perimembranous VSD

a) Perimembranous VSD is repaired on cardiopulmonary bypass with ischemic arrest. Device closure is rarely used in the United States because of the reported incidence of early and late onset complete heart block after device closure, presumably secondary to device trauma to the AV node.

b) Surgical exposure is achieved through the right atrium. The tricuspid valve septal leaflet is retracted or incised to expose the defect margins.

c) Several patch materials are available, including native pericardium, bovine pericardium, PTFE (Goretex(tm) or Impra(tm), or dacron.

d) Suture techniques include horizontal pledgeted mattress sutures, and running polypropylene suture.

e) Critical attention is necessary to avoid injury to the conduction system located on the left ventricular side of the interventricular septum near the papillary muscle of the conus.

f) Care is taken to avoid injury to the aortic valve with sutures.

g) The heart is extensively deaired by venting blood through the aortic cardioplegia site, and by infusing Carbon Dioxide into the operative field to displace air.

h) Intraoperative transesophageal echocardiography is used to confirm secure closure of the VSD, function of the aortic valve, ventricular function, and the elimination of all air from the left side of the heart.

i) The sternum is closed, with potential placement of a local anesthetic infusion catheter under the fascia, to stabilize postoperative pain control.

j) A video of Perimembranous VSD repair, including the operative technique, and the daily postoperative recovery, can be seen here: VSD Repair, Perimembranous Ventricular Septal Defect Repair Video

References

Template:WH

Template:WS