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- W2467156771 abstract "We have investigated a series of hearts with isolated ventricular septal defects so as to determine their surgical anatomy and the precise relationship of the atrioventricular conduction tissues to their rims. In all 63 hearts were examined, 12 of these also being studied after serial sectioning of their atrioventricular conduction systems. All defects could be divided into peri membranous, muscular, and subarterial infundibular types as previously suggested by Soto, Becker, Moulaert, Lie, and Anderson. The distinguishing feature of a perimembranous defect was that the central fibrous body formed part of its rim, this fact indicating that the conduction tissues were always to the surgeon’s right hand when the defect was approached through the right atrium. The precise relationship of the ventricular conduction tissues varied depending upon whether the perimembranous defect extended into inlet, trabecular, or infundibular components of the muscular septum. The nonbranching bundle was closest to the septal rim in inlet and trabecular defects, frequently being encased in a remnant of the interventricular membranous septum, but in those defects the nonbranching and branching bundles were also found in other specimens remote from the septal crest, carried on the left ventricular aspect of the septum. In infundibular perimembranous defects the conduction tissues were found to be remote from the septal crest. In contrast to these findings, in muscular inlet defects the penetrating and nonbranching bundles were related to the left-hand rim of the defect as viewed by the surgeon via the right atrium. In trabecular and infundibular muscular defects, and in subarterial infundibular defects when the atrial rim of the defect was muscular, the conduction tissues were again found to be remote from the edges of the defects." @default.
- W2467156771 created "2016-07-22" @default.
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- W2467156771 date "1980-02-01" @default.
- W2467156771 modified "2023-09-27" @default.
- W2467156771 title "Surgical anatomy and atrioventricular conduction tissues of hearts with isolated ventricular septal defects" @default.
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- W2467156771 doi "https://doi.org/10.1016/s0022-5223(19)37981-4" @default.
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