Color Atlas of Congenital Heart Surgery
Because of the wide variety of anomalies encountered in congenital heart surgery, a broad understanding of the pathologic anatomy of defects is vitally important to the successful surgeon. More than in most other fields of surgery, a feel for three-dimensional spatial relations of anomalies is helpful in allowing the surgeon to improvise the technical details of an operation. Due to advances in congenital heart surgery, patients are living well into adulthood. The authors extensive 20-year collection of photographs shows the progress of patients over a long period of time while demonstrating surgical technique for every congenital cardiac anomaly, from the common to the rare.
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ANOMALOUS SYSTEMIC VENOUS RETURN
ENDOCARDIAL CUSHION DEFECTS
VENTRICULAR SEPTAL DEFECTS
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A-V valve leaflets adjacent anastomosis aneurysm anteriorly aortic arch aortic clamping aortic valve aortotomy ascending aorta atrial septal defect avoid band bundle bypass is established cannula cardiac cooling cardioplegia cardiopulmonary bypass caudad caval Ceph Caud Fig cephalad closure coarctation commissure continuous suture coronary sinus dissected distal main pulmonary ductus arteriosus fibrous flap graft heart homograft incision infants interrupted sutures left atrium left coronary artery left pulmonary artery Left subclavian artery main pulmonary artery margin mitral leaflet mitral valve monary artery obstruction orifice patch is stitched patient pericardial patch posterior profound local cardiac proximal main pulmonary pulmonary vein resected retracted right atriotomy right atrium right coronary artery right pulmonary artery right ventricle right ventricular outflow seen septal defect Fig septum shunt snares stitches are placed superior vena cava surgery sutures sutures are placed thoracotomy tissue tricuspid valve tricuspid valve leaflet tunnel upper ventricular outflow tract ventricular septal defect vessel