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Fig. 2 | Journal of Cardiothoracic Surgery

Fig. 2

From: Biventricular repair of pulmonary atresia with intact ventricular septum and severely hypoplastic right ventricle: a case report of a minimum intervention surgical approach

Fig. 2

After 13 years, right ventriculography revealed an obviously tripartite ventricle with stenosis of the pulmonary annulus (➝) and RVOT () (a anterior, b lateral). c Intraoperative view of the stenosed pulmonary annulus (➝). d Left: The atrial septal defect was partly closed from each side with bilayer patches of autologous pericardium that overlapped at the center of the defect. An 8 mm slit was cut in the patch on the left atrial side with a scalpel as a vent to reduce right heart overload. Right: The patch on the right atrial side was sutured to overlap the left atrial side patch by about 5 mm

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