Faruk CİNGÖZ, Celalettin GÜNAY, Mehmet Ali ŞAHİN, Adem GÜLER, Mehmet YOKUŞOĞLU

The chordal detachment method in a ventricular septal defect repair operation

Ventriküler septal defekt (VSD), tipik olarak genellikle perimembranöz tip olan VSD’lerin belirlenmesi ve tamirinde iyi bir görüş sağlayan transatriyal yaklaşım ile tamir edilir. Fibroz ve kordal yapışıklıklar lezyonu çevreleyebilir ve bu anormal yapılar VSD’lere ulaşmayı güçleştirebilir. Bu yazıda, perimembranöz tip VSD’si olan ve defektin triküspid septal yaprakcık ve çok kalın pek çok kordal yapışıklıklarla çevrelendiği bir olgu sunuldu. Kordal yapışıklıklar dikkatle diseke edildi ve VSD başarılı bir şekilde ortaya çıkarıldı. Defekt, Gore-Tex yama kullanılarak tamir edildi.

Ventriküler septal defekt tamir ameliyatında kordal ayrıştırma yöntemi

Ventricular septal defect (VSD) is typically repaired via a transatrial approach, which usually provides a good exposure for the assessment and repair of VSDs, generally the perimembranous type. Fibrosis and chordal fusion may surround the lesion, and these malstructures may compromise to reach VSDs. In this article, we present a case with the perimembraneous-type of VSD surrounded by a tricuspid septal leaflet and many thick chordal attachments. The attachments were carefully dissected, and the VSD was successfully exposed. The defect was then repaired using a Gore-Tex patch.

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