By Hiromi Kurosawa M.D., Anton E. Becker M.D. (auth.)
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Extra resources for Atrioventricular Conduction in Congenital Heart Disease: Surgical Anatomy
34c). The fourth suture passes through muscle without endangering the branching bundle (Fig. 34d). Perimembranous Ventricular Septal Defect Fig. 33. Right ventricular view of same heart.
23. Right ventricular view of trabecular-type perimembranous ventricular septal defect with superimposed reconstructed course of atrioventricular conduction tissues. Dotted green line, left-sided position of the branching bundle. Other symbols as in Fig. 8 Peri membranous Ventricular Septal Defect Fig. 24. Left ventricular view of same heart. Symbols as in Fig. 9 43 44 Isolated Ventricular Septal Defect Fig. 25. Right ventricular view oflarge perimembranous outlettype ventricular septal defect Outlet Type In the perimembranous outlet-type ventricular septal defect the main extension of the defect is into the outlet septum.
14. Left ventricular view of same heart 29 30 Isolated Ventricular Septal Defect In patching the defect in this particular heart the sutures may be placed through the fibrous ridges (Fig. 15). The illustration shows the block of tissue removed for serial sectioning and the site of microscopical sections in relation to the sutures. The penetrating bundle is in its usual position on the crest of the inlet part of the ventricular septum at the base of the membranous septum. The first needle has been placed through the base of the septal tricuspid valve leaflet, but close to the bundle, as clearly illustrated in Fig.