Yüzüncü Yıl Üniversitesi Tıp Fakültesi Kalp ve Damar Cerrahisi Anabilim Dalı, VAN

Aim: The purpose of our study was to assess outcome of patients with perimembranous ventricular septal defect after surgical closure. Methods: Between January 2000 and March 2004, 20 patients with perimembranous ventricular septal defect underwent surgical repair via right atriotomy and septal tricuspid leaflet temporary detachment in our hospital. There were 7 female and 13 male patients, ranging in age from 2 to 27 years with a mean age of 10.05±7.11 years. Results: There were no early or late deaths. The ventricular septal defect was repaired with a Dacron patch graft in all patients. Additional procedures were performed in 3 patients, including closure of patent foramen ovale in 1 patient, mitral valve replacement in 1, and closure of patent foramen ovale and enlargement of right ventricular outflow tract in 1. Conclusion: Detachment of the septal leaflet of the tricuspid valve to expose the ventricular septal defect is an effective and safe technique that allows rapid closure of the defect.