Surgery for ventricular septal defect in dextroversion through a left ventriculotomy

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      The pertinent diagnostic characteristics of dextroversion have been reviewed and discussed. The majority of cases of dextroversion are complicated by other cardiac defects, the most common of which are ventricular septal defects. The marked rightward displacement of the right ventricle and anomalous distribution of the coronary arteries may make surgical correction by means of a right ventriculotomy or transatrial exposure impossible. The diagnostic findings and the surgical correction by means of a left ventricular exposure in a 21 year old male patient with ventricular septal defect and pulmonary hypertension are described.
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