{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T21:56:56Z","timestamp":1764194216620},"reference-count":6,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2017,2,6]],"date-time":"2017-02-06T00:00:00Z","timestamp":1486339200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["www.cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The management of apical ventricular septal defects continues to be challenging because of the difficulty in achieving a complete closure without a left apical ventriculotomy. In this study, we present our innovative technique of closing multiple and\/or large muscular apical ventricular septal defects through a right atriotomy. We operated three patients with multiple apical muscular trabecular ventricular septal defects (\u201cSwiss cheese\u201d) using a technique that involved exclusion of the right ventricular apex. Their ages ranged between 2 months and 13 years. The VSDs were approached through right atriotomy. The trans right atrial approach using a 5\u20130 polypropylene purse-string suture or a two-patch procedure is a novel method of closing large apical ventricular septal defects. It was found to be effective with no persistent residual defects and did not have the disadvantages of a ventriculotomy.<\/jats:p>","DOI":"10.1017\/s1047951116001517","type":"journal-article","created":{"date-parts":[[2017,2,6]],"date-time":"2017-02-06T07:21:40Z","timestamp":1486365700000},"page":"588-591","update-policy":"http:\/\/dx.doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":7,"title":["Surgical closure of multiple large apical ventricular septal defects: how we do it"],"prefix":"10.1017","volume":"27","author":[{"given":"Carolina","family":"Perez-Negueruela","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joan","family":"Carretero","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Javier","family":"Mayol","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 M.","family":"Caffarena","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2017,2,6]]},"reference":[{"key":"S1047951116001517_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2003.10.047"},{"key":"S1047951116001517_ref3","doi-asserted-by":"publisher","DOI":"10.1111\/jocs.12104"},{"key":"S1047951116001517_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2014.02.036"},{"key":"S1047951116001517_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2011.04.026"},{"key":"S1047951116001517_ref2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8191.2005.200468.x"},{"key":"S1047951116001517_ref5","doi-asserted-by":"publisher","DOI":"10.1067\/mtc.2003.56"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951116001517","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,18]],"date-time":"2019-04-18T03:22:38Z","timestamp":1555557758000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951116001517\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,2,6]]},"references-count":6,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2017,3]]}},"alternative-id":["S1047951116001517"],"URL":"https:\/\/doi.org\/10.1017\/s1047951116001517","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,2,6]]},"assertion":[{"value":"\u00a9 Cambridge University Press 2017\u00a0","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}