Relationship of the Development of the Ventricular Septum to the Position of Ventricular Septal Defects

CHEST Journal ◽  
1970 ◽  
Vol 58 (5) ◽  
pp. 451 ◽  
Author(s):  
Maurice Lev
Keyword(s):  
Ventricular Septum ◽  
Ventricular Septal Defects ◽  
Septal Defects ◽  
Relationship Of

The ?in-plane? view of the inter-ventricular septum. A new approach to the characterization of ventricular septal defects in the fetus

2003 ◽  
Vol 23 (13) ◽  
pp. 1052-1055 ◽  
Author(s):  
Dario Paladini ◽  
Maria Giovanna Russo ◽  
Michele Vassallo ◽  
Antonio Tartaglione
Keyword(s):  
Ventricular Septum ◽  
Ventricular Septal Defects ◽  
New Approach ◽  
Septal Defects ◽  
Plane View

scholarly journals The Fate of the Outflow Tract Septal Complex in Relation to the Classification of Ventricular Septal Defects

2019 ◽  
Vol 6 (1) ◽  
pp. 9 ◽  
Author(s):  
Robert Anderson ◽  
Justin Tretter ◽  
Diane Spicer ◽  
Shumpei Mori
Keyword(s):  
Outflow Tract ◽  
Ventricular Septum ◽  
Ventricular Septal Defects ◽  
Atrioventricular Canal ◽  
Dorsal Wall ◽  
Septal Defects ◽  
Major Significance ◽  
Ongoing Development ◽  
The Right

It is now established that the entity often described as an “aortopulmonary septal complex” is better considered as an “outflow tract septal complex”. This change is crucial for appropriate understanding of not only malformations of the outflow tract, but also ventricular septal defects. Thus, the embryonic outflow tract, as it develops, is separated into its two components by fusion of a protrusion from the dorsal wall of the aortic sac with the distal end of the outflow cushions. The key point with regard to morphogenesis is that, with ongoing development, these structures lose their septal integrity, although they can still be identified as septal structures when the ventricular septum itself is deficient. In the normal postnatal heart, however, the aortic and pulmonary components have their own walls throughout the length of the outflow tracts. All of this is of clinical significance, since some current concepts of categorisation of the ventricular septal defects are based on the existence in the normal heart of a “conal septum”, along with a “septum of the atrioventricular canal”. In this review, we show how analysis of postnatal hearts reveals the definitive ventricular septum to possess only muscular and fibrous components in the absence of either discrete outflow or inlet components. We also show that this information regarding development, in turn, is of major significance in determining whether categorisation of ventricular septal defects is best approached, in the first instance, on the basis of the borders of the defects or the fashion in which they open to the right ventricle.

scholarly journals Systematic Approach to Malalignment Type Ventricular Septal Defects

2020 ◽  
Vol 9 (22) ◽  
Author(s):  
Shi‐Joon Yoo ◽  
Mika Saito ◽  
Nabil Hussein ◽  
Fraser Golding ◽  
Hyun Woo Goo ◽  
...  
Keyword(s):  
Systematic Approach ◽  
Heart Diseases ◽  
Ventricular Septum ◽  
Reference Structure ◽  
Ventricular Septal Defects ◽  
Case Examples ◽  
Septal Defects ◽  
Pathological Conditions ◽  
Pictorial Essay ◽  
The Right

Abstract Various congenital heart diseases are associated with malalignment of a part of the ventricular septum. Most commonly, the outlet septum is malaligned toward the right or left ventricle. Less commonly, the whole or a major part of the ventricular septum is malaligned in relation to the atrial septal plane. Although the pathological conditions associated with ventricular septal malalignment have been well recognized, the descriptions are often confusing and sometimes incorrect. In this pictorial essay, we introduce our systematic approach to the assessment of malalignment type ventricular septal defects with typical case examples. The systematic approach comprises description of the essential features of malalignment, including the following: (1) the malaligned part of the ventricular septum, (2) the reference structure, (3) the mechanism of malalignment, (4) the direction of malalignment, and (5) the severity of malalignment.

Results after repair of partial atrio-ventricular septal defects: A 50-year single-center experience

2011 ◽  
Vol 59 (S 01) ◽  
Author(s):  
A Neagoie ◽  
G Aleksieva ◽  
R Sodian ◽  
W Schiller ◽  
R Kozlik-Feldmann ◽  
...  
Keyword(s):  
Single Center ◽  
Ventricular Septal Defects ◽  
Septal Defects ◽  
Single Center Experience

Delayed Closure of Multiple Muscular Ventricular Septal Defects in an Infant after Coarctation Repair and a Hybrid Procedure�A Case Report

2011 ◽  
Vol 14 (1) ◽  
pp. 67 ◽  
Author(s):  
Ireneusz Haponiuk ◽  
Maciej Chojnicki ◽  
Radosaw Jaworski ◽  
Jacek Juciski ◽  
Mariusz Steffek ◽  
...  
Keyword(s):  
Septal Defect ◽  
Color Doppler ◽  
Hybrid Approach ◽  
Ventricular Septal Defects ◽  
Color Doppler Echocardiography ◽  
Septal Defects ◽  
Coarctation Repair ◽  
Step Procedure ◽  
The Right ◽  
Delayed Closure

There are several strategies of surgical approach for the repair of multiple muscular ventricular septal defects (mVSDs), but none leads to a fully predictable, satisfactory therapeutic outcome in infants. We followed a concept of treating multiple mVSDs consisting of a hybrid approach based on intraoperative perventricular implantation of occluding devices. In this report, we describe a 2-step procedure consisting of a final hybrid approach for multiple mVSDs in the infant following initial coarctation repair with pulmonary artery banding in the newborn. At 7 months, sternotomy and debanding were performed, the right ventricle was punctured under transesophageal echocardiographic guidance, and the 8-mm device was implanted into the septal defect. Color Doppler echocardiography results showed complete closure of all VSDs by 11 months after surgery, probably via a mechanism of a localized inflammatory response reaction, ventricular septum growth, and implant endothelization.

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