The “Purse-String” Suture for Closure of Atrial Septal Defects

1956 ◽  
Vol 36 (4) ◽  
pp. 955-967 ◽  
Author(s):  
Viking Olov Björk ◽  
Danae Ikkos
2017 ◽  
Vol 27 (3) ◽  
pp. 588-591 ◽  
Author(s):  
Carolina Perez-Negueruela ◽  
Joan Carretero ◽  
Javier Mayol ◽  
José M. Caffarena

AbstractThe management of apical ventricular septal defects continues to be challenging because of the difficulty in achieving a complete closure without a left apical ventriculotomy. In this study, we present our innovative technique of closing multiple and/or large muscular apical ventricular septal defects through a right atriotomy. We operated three patients with multiple apical muscular trabecular ventricular septal defects (“Swiss cheese”) using a technique that involved exclusion of the right ventricular apex. Their ages ranged between 2 months and 13 years. The VSDs were approached through right atriotomy. The trans right atrial approach using a 5–0 polypropylene purse-string suture or a two-patch procedure is a novel method of closing large apical ventricular septal defects. It was found to be effective with no persistent residual defects and did not have the disadvantages of a ventriculotomy.


2018 ◽  
Vol 23 (1) ◽  
pp. 67-68 ◽  
Author(s):  
R. Wu ◽  
R. Benedict ◽  
A. Caycedo-Marulanda

Author(s):  
Basil (Vasilios) D. Thanopoulos ◽  
Lars Soendergaard ◽  
Hieu Lan Ngugen ◽  
Maurizio Marasini ◽  
Andreas Giannopoulos ◽  
...  

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