Frigiola A, Menicanti L, Bedogni L, Belloli G P
Pediatr Med Chir. 1981 Nov-Dec;3(6):477-80.
The Authors reviewed their surgical experience in correction of ventricular septal defects through tricuspid valve. 57 patients out of 59 operated for surgical closure of V.S.D. underwent this technique. All patients remained in sinus rhythm after surgical repair, 40% showed a right bundle block, and only in a case there was a right bundle block plus left anterior emiblock. Clinical conditions of all the patients greatly improved after intervention. Overall mortality in this series was 6.7%. The Authors conclude that trans-atrial approach is safe and advisable technique in surgical management of ventricular septal defects.
作者回顾了他们经三尖瓣修复室间隔缺损的手术经验。59例接受室间隔缺损手术闭合的患者中，有57例采用了该技术。所有患者术后均维持窦性心律，40%表现为右束支传导阻滞，仅1例出现右束支传导阻滞合并左前分支阻滞。所有患者干预后的临床状况均有显著改善。该系列患者的总死亡率为6.7%。作者得出结论，经心房入路是室间隔缺损手术治疗中安全且可取的技术。
