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Ventricular Septal Defects

  • Bradley J. Harlan
  • Albert Starr
  • Fredric M. Harwin

Abstract

Isolated ventricular septal defect (VSD) is the most common congenital cardiac defect, with an incidence of approximately 2 per 1000 live births. Isolated VSD accounts for 25% of all congenital heart disease. The wide range of physiology and natural history of VSDs necessitates careful consideration of operative indications and timing. Understanding of the anatomic variations and applicable surgical techniques is necessary to achieve the excellent results that are possible today.

Keywords

Aortic Valve Tricuspid Valve Ventricular Septal Defect Ventricular Septal Defect Pulmonary Valve 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Bibliography

  1. Backer CL, Idriss FS, Zales VR, Ilbawi MN, DeLeon SY, Muster AJ, Mavroudis C: Surgical management of the conal (supracristal) ventricular septal defect. J Thorac Cardiovasc Surg 102: 288, 1991.PubMedGoogle Scholar
  2. Barratt-Boyes BG, Neutze JM, Clarkson PM, Shardey GC, Brandt PWT: Repair of ventricular septal defect in the first two years of life using profound hypothermia-circulatory arrest techniques. Ann Surg 184: 376, 1976.PubMedCrossRefGoogle Scholar
  3. Becu LM, Fontana RS, DuShane JW, Kirklin JW, Burchell HB, Edwards JE: Anatomic and pathologic studies in ventricular septal defect. Circulation 14: 349, 1956.PubMedGoogle Scholar
  4. Bjork VO: The transatrial approach to ventricular septal defect. J Thorac Cardiovasc Surg 47: 178, 1964.Google Scholar
  5. Blackstone EH, Kirklin JW, Bradley EL, DuShane JW, Appelbaum A: Optimal age and results in repair of large ventricular septal defects. J Thorac Cardiovasc Surg 72: 661, 1976.PubMedGoogle Scholar
  6. Doty DB: Closure of perimembranous ventricular septal defect. J Thorac Cardiovasc Surg 85: 781, 1983.PubMedGoogle Scholar
  7. Ellis FH, Ongley PA, Kirklin JW: Ventricular septal defect with aortic valvular incompetence. Surgical considerations. Circulation 27: 789, 1963.Google Scholar
  8. Griepp RE, French JW, Shumway NE, Baum D: Is pulmonary artery banding for ventricular septal defects obsolete? Circulation 48,50(Suppl II): II - 14, 1974.Google Scholar
  9. Harlan BJ, Cooley DA: Transaortic repair of double-outlet right ventricle with situs inversus, 1-loop, l-malposition (I,L,L), subaortic ventricular septal defect, and associated anomalies. J Thorac Cardiovasc Surg 72: 547, 1976.PubMedGoogle Scholar
  10. Ho SY, Anderson RH: Conduction tissue in congenital heart surgery. World J Surg 9: 550, 1985.PubMedCrossRefGoogle Scholar
  11. Hoffman JIE, Rudolph AM: Natural history of ventricular septal defect in infancy. Am J Cardiol 16: 634, 1965.PubMedCrossRefGoogle Scholar
  12. Kawashima Y, Fujita T, Mori T, Ihara K, Manabe H: Trans-pulmonary arterial closure of ventricular septal defect. J Thorac Cardiovasc Surg 74: 191, 1977.PubMedGoogle Scholar
  13. Kay JH, Anderson RM, Tolentino P, Dykstra P, Shapiro MJ, Meihaus JE, Magidson O: The surgical repair of high pressure ventricular septal defect through the right atrium. Surgery 48: 65, 1960.PubMedGoogle Scholar
  14. Keith JD, Rose V, Collins G, Kidd BSL: Ventricular septal defect: incidence, morbidity, and mortality in various age groups. Br Heart J 33: 81,1971(Suppl).PubMedCrossRefGoogle Scholar
  15. Kirklin JW, DuShane JW: Repair of ventricular septal defect in infancy. Pediatrics 27: 961, 1961.PubMedGoogle Scholar
  16. Kirklin JW, Harshbarger HG, Donald DE, Edwards JE: Surgical correction of ventricular septal defect: anatomic and technical considerations. J Thorac Surg 33: 45, 1957.PubMedGoogle Scholar
  17. Koch W: Weitere mitteilungen über den Sinusknoten des Herzens. Verh Dtsch Ges Pathol 13: 85, 1909.Google Scholar
  18. Lev M, Fell EH, Arcilla R, Weinberg MH: Surgical injury to the conduction system in ventricular septal defect. Am J Cardiol 14: 464, 1964.PubMedCrossRefGoogle Scholar
  19. Lev M: The architecture of the conduction system in congenital heart disease. III. Ventricular septal defect. Arch Pathol 70: 529, 1970.Google Scholar
  20. Lillehei CW, Levy MJ, Adams P, Anderson RC: High-pressure ventricular septal defects. JAMA 188: 949, 1964.PubMedGoogle Scholar
  21. Lincoln C, Jamieson S, Joseph M, Shinebourne E, Anderson RH: Transatrial repair of ventricular septal defects with reference to their anatomic classification. J Thorac Cardiovasc Surg 74: 183, 1977.PubMedGoogle Scholar
  22. Milo S, Yen HS, Wilkinson JL, Anderson RH: Surgical anatomy and atrioventricular conduction tissues of hearts with isolated ventricular septal defects. J Thorac Cardiovasc Surg 79: 244, 1980.PubMedGoogle Scholar
  23. Muller WH Jr, Damman JF Jr: The treatment of certain congenital malformations of the heart by creation of pulmonic stenosis to reduce pulmonary hypertension and pulmonary flow. Surg Gynecol Obstet 95: 312, 1952.Google Scholar
  24. Soto B, Becker AE, Moulaert AJ, Lie JT, Anderson RH: Classification of ventricular septal defects. Br Heart J 43: 332, 1980.PubMedCrossRefGoogle Scholar
  25. Soto B, Ceballos R, Kirklin JW: Ventricular septal defects: a surgical viewpoint. J Am Coll Cardiol 14: 1291, 1989.PubMedCrossRefGoogle Scholar
  26. Spencer FC, Doyle EF, Danilowicz DA, Bahnson HT, Weldon CS: Long-term evaluation of aortic valvuloplasty for aortic insufficiency and ventricular septal defect. J Thorac Cardiovasc Surg 65: 15, 1973.PubMedGoogle Scholar
  27. Starr A, Menashe V, Dotter C: Successful correction of aortic insufficiency associated with ventricular septal defect. Surg Gynecol Obstet 111: 71, 1960.PubMedGoogle Scholar
  28. Tandler J: Anatomie des Herzens. Jena, Gustav Fischer, 1913, p 64.Google Scholar
  29. Titus JL, Daugherty GW, Edwards JE: Anatomy of the atrioventricular con-duction system in ventricular septal defect. Circlation 28: 72, 1963.Google Scholar
  30. Titus IL: Normal anatomy of the human cardiac conduction system. Mayo Clin Proc 48: 24, 1973.PubMedGoogle Scholar
  31. Truex RC, Bischof JK: Conduction system in human hearts with interventricular septal defects. J Thorac Surg 35: 421, 1958.PubMedGoogle Scholar
  32. Truex RC, Smythe MQ: Reconstruction of the human atrioventricular node. Anat Rec 158: 11, 1964.CrossRefGoogle Scholar
  33. Trusler GA, Moes CAF, Kidd BSL: Repair of ventricular septal defect with aortic insufficiency. J Thorac Cardiovasc Surg 66: 394, 1973.PubMedGoogle Scholar
  34. Trusler GA, Mustard WT: A method of banding the pulmonary artery for large isolated ventricular septal defect with and without transposition of the great arteries. Ann Thorac Surg 13: 351, 1972.PubMedCrossRefGoogle Scholar
  35. Trusler GA, Williams WG, Smallhorn JF, Freedom RM: Late results after repair of aortic insufficiency associated with ventricular septal defect. J Thorac Cardiovasc Surg 103: 276, 1992.PubMedGoogle Scholar
  36. Utley JR: Hemodynamic observations during and after pulmonary artery banding. Ann Thorac Surg 13: 351, 1972.CrossRefGoogle Scholar
  37. Van Praagh R, McNamara JJ: Anatomic types of ventricular septal defect with aortic insufficiency: diagnostic and surgical considerations. Am Heart J 75: 604, 1968.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag New York Inc. 1996

Authors and Affiliations

  • Bradley J. Harlan
    • 1
    • 2
    • 3
  • Albert Starr
    • 4
    • 5
    • 6
  • Fredric M. Harwin
    • 7
  1. 1.Section of Thoracic and Cardiovascular SurgerySutter Memorial HospitalSacramentoUSA
  2. 2.Davis Medical SchoolUniversity of CaliforaniaSacramentoUSA
  3. 3.Oregon Health Sciences UniversityPortlandUSA
  4. 4.Oregon Health Sciences UniversityPortlandUSA
  5. 5.Heart Institute at St. Vincent HospitalPortlandUSA
  6. 6.Starr-Wood Cardiac Group, P.C.PortlandUSA
  7. 7.Harwin StudiosPortlandUSA

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