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Download e-book for kindle: Cardiac Reconstructions by P. K. Ghosh (auth.), Probal K. Ghosh MD, MS, MCh, FRCSE,

By P. K. Ghosh (auth.), Probal K. Ghosh MD, MS, MCh, FRCSE, Felix Unger (eds.)

ISBN-10: 3540509739

ISBN-13: 9783540509738

ISBN-10: 3642746292

ISBN-13: 9783642746291

Attempts to reconstruct a variety of components of the center all started even sooner than the start of open cardiac surgical procedure. via the past due Nineteen Fifties and early 1960 s a number of closed and open systems had already been defined. In that period, numerous surgeons in Europe and the Americas have been really caused to improve a variety of strategies of valve re­ building due to the loss of appropriate valve prostheses and conduits that have turn into on hand consequently. at the moment, a number of congenital lesions nonetheless defied definitive correction, and medical makes an attempt at left ventricular wall substitute had no longer but obtained less than method. A renaissance in several cardiac reconstructive systems began before everything of the Eighties. because the difficulties with regards to valve prostheses turned extra typically preferred and the significance of chamber volumes and geometry (atrial or ventricular) was once accorded due significance within the long term follow-up, there has been a resurgence of surgical makes an attempt at reconstruction in congenital and bought cardiac lesions as a way to approximate the typical country. while a number of features of this reconstructive "discipline" grew to become obvious. First, cardiac reconstructive surgical procedure has remained a surgical "art" with a progressively expanding variety of cardiac surgeons.

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Approximation of the cleft with sutures placed first at the base and then carried towards the central part of the valve would not have achieved an acceptable result without being complete. We also do not believe that in similar situations alternate repairs as proposed by Carpentier [13,14] can be effective. In our sec- Correction of Mitral Incompetence in AV Canal Defects 29 ond patient the so-called septal commissure was first reconstructed, but this procedure alone did not eliminate the important central insufficiency of the valve.

References 1. Carpentier A, Branchini B, Cour JC, Asfaou E, Villani M, Deloche A, Rolland J, el AI- 2. 3. 4. 5. laines D, Blondeau PL, Piwancar A, Parenzan L, Brom G (1976) Congenital malformations of the mitral valve in children. Pathology and surgical treatment. J Thorac Cardiovasc Surg 72:854-866 Shone JD, Sellers RD, Anderson RC, Adams P Jr, Lillehei CW, Edwards JE (1963) The developmental complex of "parachute mitral valve", supravalvular ring ofleft atrium, subaortic stenosis and coarcation aorta.

SCHRANZ 2, and H. 9 months) underwent intracardiac correction of complete atrioventricular (AV) canal (CAVC). 5%), and two cases represented a mixed form (type A-B or B-C) (Rastelli's classification). All patients suffered from severe pulmonary hypertension with preoperative calculated left-to-right shunt varying between 53% and 76%. 5%) presented with associated cardiovascular lesions including secundum atrial septal defect (two), left superior vena cava (one), and patent ductus arteriosus (four).

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Cardiac Reconstructions by P. K. Ghosh (auth.), Probal K. Ghosh MD, MS, MCh, FRCSE, Felix Unger (eds.)


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