By S. Bert Litwin

Colour Atlas of Congenital center surgical procedure covers the whole spectrum of congenital middle defects, first depicting the pathology in pre-repair pictures after which detailing step by step the operative approach. Dr. Litwin depicts the commonest techniques in addition to the main complicated ones, delivering various details important to citizens and fellows in education in addition to clinicians in practice.
One of the foremost features of the software and practicality of colour Atlas of Congenital middle surgical procedure is the original point of view of the operative images. utilizing a different side-mounted flash, the writer s photos vividly trap the 3 dimensional spatial kin of congenital anomalies and surgical anatomy. also, every one representation and photograph is largely classified for readability (indicating the sufferer s left, correct, cephalad and caudad positions).
With over a hundred new illustrations and lots of new strategies, the recent version of colour Atlas of Congenital middle surgical procedure is either a textbook and an atlas, offering an critical reference for each healthcare professional, heart specialist, intensivist, or anesthetist who treats sufferers with congenital cardiac anomalies.

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The annulus between tricuspid and mitral valves is intact. In complete AV canal, the primum atrial septal defect is in continuity with a high ventricular septal defect because there is no annular continuity of mitral and tricuspid valves. This results in a single intracardiac AV valve that functions as both mitral and tricuspid valves. All patients have a significant left-to-right intracardiac shunt and in the presence of complete AV canal there is always severe pulmonary hypertension with or without AV valve regurgitation.

Care is taken not to close the cleft excessively to avoid iatrogenic mitral stenosis, although ideally the cleft is closed to the free margin of the leaflet. The first ASD repair stitch is placed as a mattress suture with a Teflon® felt pledget opposite the cleft. This stitch is placed in the upper ventricular septum along the right ventricular surface and is used as a traction suture during repair of the cleft. rim of ASD interrupted mattress sutures for ASD repair passed through septal muscle or in base of tricuspid leaflet mitral leaflet attachment beneath coronary sinus caud stitches beneath coronary sinus near His' bundle FIGURE 4-4.

The opening is compared to a normal valves based on body surface area to avoid excessive closure of the valve, which may result in iatrogenic mitral stenosis. FIGURE new anterior mitral leaflet ventricular septum ventricular septal defect R^ caud 4-24. The new anterior mitral leaflet is lifted to expose the ventricular septal defect beneath. To close the VSD, felted horizontal mattress sutures will be placed on the right ventricular surface of the upper rim of the ventricular septum.

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