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. 1980 Mar;43(3):332–343. doi: 10.1136/hrt.43.3.332

Classification of ventricular septal defects.

B Soto, A E Becker, A J Moulaert, J T Lie, R H Anderson
PMCID: PMC482284  PMID: 7437181

Abstract

A classification with clinical significance is proposed for ventricular septal defect based on the study of 220 hearts with defects of the ventricular septum. All had atrioventricular and ventriculoarterial concordance with normal relations of cardiac structure. For the purpose of classification, the ventricular septum was considered as possessing muscular and membranous portions, the muscular septum itself being divided into inlet, trabecular, and outlet (or infundibular) components. Defects were observed in the area of the membranous septum, termed perimembranous defects; within the muscular septum, termed muscular defects; or in the area of septum subjacent to the arterial valves, termed subarterial infundibular defects. Perimembranous defects were found extending either into the inlet, trabecular, or infundibular septa. Muscular defects were found in or between the inlet septum, trabecular septum, or infundibular septum. Review of the angiograms showed that the classification was easy to use in the catheterisation laboratory, and our observations suggest that the precision thus obtained has considerable surgical significance.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Anderson R. H., Becker A. E., Van Mierop L. H. What should we call the 'crista'? Br Heart J. 1977 Aug;39(8):856–859. doi: 10.1136/hrt.39.8.856. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. BECU L. M., BURCHELL H. B., DUSHANE J. W., EDWARDS J. E., FONTANA R. S., KIRKLIN J. W. Anatomic and pathologic studies in ventricular septal defect. Circulation. 1956 Sep;14(3):349–364. doi: 10.1161/01.cir.14.3.349. [DOI] [PubMed] [Google Scholar]
  3. Bargeron L. M., Jr, Elliott L. P., Soto B., Bream P. R., Curry G. C. Axial cineangiography in congenital heart disease. Section I. Concept, technical and anatomic considerations. Circulation. 1977 Dec;56(6):1075–1083. doi: 10.1161/01.cir.56.6.1075. [DOI] [PubMed] [Google Scholar]
  4. Becker A. E., Connor M., Anderson R. H. Tetralogy of Fallot: a morphometric and geometric study. Am J Cardiol. 1975 Mar;35(3):402–412. doi: 10.1016/0002-9149(75)90034-x. [DOI] [PubMed] [Google Scholar]
  5. COHEN M., DEWALL R. A., LILLEHEI C. W., VARCO R. L., WARDEN H. E. A surgical pathologic classification for isolated ventricular septal defects and for those in Fallot's tetralogy based on observations made on 120 patients during repair under direct vision. J Thorac Surg. 1957 Jan;33(1):21–44. [PubMed] [Google Scholar]
  6. DONALD D. E., EDWARDS J. E., HARSHBARGER H. G., KIRKLIN J. W. Surgical correction of ventricular septal defect: anatomic and technical considerations. J Thorac Surg. 1957 Jan;33(1):45–59. [PubMed] [Google Scholar]
  7. Goor D. A., Lillehei C. W., Rees R., Edwards J. E. Isolated ventricular septal defect. Development basis for various types and presentation of classification. Chest. 1970 Nov;58(5):468–482. doi: 10.1378/chest.58.5.468. [DOI] [PubMed] [Google Scholar]
  8. KIRKLIN J. W., MCGOON D. C., DUSHANE J. W. Surgical treatment of ventricular septal defect. J Thorac Cardiovasc Surg. 1960 Dec;40:763–775. [PubMed] [Google Scholar]
  9. LEV M. The architecture of the conduction system in congenital heart disease. III. Ventricular septal defect. Arch Pathol. 1960 Nov;70:529–549. [PubMed] [Google Scholar]
  10. LEV M. The pathologic anatomy of ventricular septal defects. Dis Chest. 1959 May;35(5):533–545. doi: 10.1378/chest.35.5.533. [DOI] [PubMed] [Google Scholar]
  11. Latham R. A., Anderson R. H. Anatomical variations in atrioventricular conduction system with reference to ventricular septal defects. Br Heart J. 1972 Feb;34(2):185–190. doi: 10.1136/hrt.34.2.185. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Lincoln C., Jamieson S., Joseph M., Shinebourne E., Anderson R. H. Transatrial repair of ventricular septal defects with reference to their anatomic classification. J Thorac Cardiovasc Surg. 1977 Aug;74(2):183–190. [PubMed] [Google Scholar]
  13. NEUFELD H. N., TITUS J. L., DUSHANE J. W., BURCHELL H. B., EDWARDS J. E. Isolated ventricular septal defect of the persistent common atrioventricular canal type. Circulation. 1961 May;23:685–696. doi: 10.1161/01.cir.23.5.685. [DOI] [PubMed] [Google Scholar]
  14. TRUEX R. C., BISHOF J. K. Conduction system in human hearts with interventricular septal defects. J Thorac Surg. 1958 Apr;35(4):421–439. [PubMed] [Google Scholar]
  15. Van Praagh R. What is the Taussig-Bing malformation? Circulation. 1968 Sep;38(3):445–449. doi: 10.1161/01.cir.38.3.445. [DOI] [PubMed] [Google Scholar]

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