Browse > Article

A Study of Electrocardiographic Change and Tricuspid Competence after Temporary Detachment for Closure of Ventricular Septal Defect  

정성운 (부산대학교 의과대학 흉부외과학교실)
박준호 (부산대학교 의과대학 흉부외과학교실)
김종원 (부산대학교 의과대학 흉부외과학교실)
Publication Information
Journal of Chest Surgery / v.36, no.9, 2003 , pp. 633-637 More about this Journal
Abstract
Sometimes temporary tricuspid valve detachment is applied for closure of ventricular septal defect to facilitate good exposure and avoiding ventriculotomy, but most surgeons hesitate to do it in the fear of tricuspid incompetence. Moreover in recent textbooks the technique of temporary tricuspid detachment is only described for exceptional situations and is not further analysed or commented on. Material and Method: Retrospective study was carried out in all 11 patients operated between 1985 to 1994, with preoperative data and postoperative course and recent echocardiographic and electrocardiographic data. Result: On the basis of the area of the color flow jet, tricuspid valvular regurgitation was graded as none in 9 and trivial in 2, and significant electrocardiographic heart block did not developed in any patients. Conclusion: Takedown and attachment of the tricuspid valve is a safe and effective technique that improves exposure for ventricular septal defect, and does not adversely effect tricuspid valve competence and electrocardiography.
Keywords
Heart septal defect, ventricular; Tricuspid valve; Heart septa defectsects;
Citations & Related Records
연도 인용수 순위
  • Reference
1 /
[ Stark J.;de Leval M. ] / Surgery for congenital heart defects
2 /
[ Bharati S.;Lev M.;Kirklin JW. ] / Cardiac Surgery and conduction system
3 /
[ Chung EK. ] / Eletrocardiography(3rd ed.)
4 Repair of ventricular septal defect in the first two year of life using profound hypothermia circulatory arrest technique /
[ Barratt-Boyeds BG.;Neutze JM.;Clarkson PM.;Sharddey GC. ] / Ann Surg
5 Echocaldiographic evaluation of valvular heart disease. /
[ Otto CM. ] / Otto CM. Valvular heart disease(1st ed.)
6 Transatrial approach of ventricular septal defect with reference to their anatomic classification /
[ Lincoln C.;Jamieson S.;Joseph M.;Shineboren RH. ] / J Thorac Cardiovasc Surg
7 /
[ Khonsari S. ] / Cardiac Surgey: Safeguards and Pitfalls in Operative Technique(2nd ed.)
8 Etology of right bundle branch block pattern after surgical closure of ventricular septal defect /
[ Okoroma EO. ] / Ann Thorac Surg   DOI   ScienceOn
9 Surgical management of straddling atrioventricular valve /
[ Tabry IF.;McGoon DC;Danielson GK.;Wallace RB;Tajik AJ.;Seward JB. ] / J Thorac Cardiovasc Surg
10 Age related prevalence of valvular regrugitation in normal subjects:a comprehensive color flow examination of 118 volunteers /
[ Klein AL.;Burstow DJ.;Tajik AJ.(et al.) ] / J Am Soc Echocardiogr   DOI
11 Temporary tricuspid valve detachment in closure of congenital ventricular septal defect /
[ Bol-Raap G.;Bogers AJC.;Boersam H.;De Jong PL.;Hess J.;Bos E. ] / Eur J Cardiothorac Surg   DOI   ScienceOn
12 An improved transatrial approach to the closure of the ventricular septal defects /
[ Hudspeth AS.;Cordell AR.;Meredith JH.(et al.) ] / J Thorac Cardiovasc Surg
13 Reoperation after closure of ventricular septal defects /
[ de Leval M. ] / Reoperations in Cardiac Surgery (In : Strad J, Pacifico AD.)
14 Cardiac surgery /
[ Kirklin JW.;Barratt-Boyes BG. ] / Churchill Livingstone(2nd ed.)
15 The results of direct vision closure of ventricular septal defects in eight patients by means of controlled cross circulation /
[ Lillehei WC.;Cohen M.;Wardan HE.(et al) ] / Surg Gynecol Obster
16 Analysis of 222 cases of VSD /
[ Chung HK.;Lee SK.;Kim JW.(et al.) ] / Korean J Cardiothoracic Surg
17 Conduction disturbances and oprative results after closure of ventricular septal defect by three different surgical approach /
[ Abe T.;Komastsu S. ] / Jpn Cir J   DOI   ScienceOn
18 Surgical correction of ventricular septal defect : Anatomic and technical consideration /
[ Kirklin JW.;Harshbarger HG.;Donald DE.;Edwards JE. ] / J Thorac Cardiovasc Surg