(12,36-38) Ingluviotomy, proventriculotomy, or
ventriculotomy can be performed if noninvasive methods are unsuccessful.
When main pulmonary artery was fibrotic two patch technique was done for right
ventriculotomy and main pulmonary artery 5 (10%) while in two cases 2 (4%) were done with limited trans annular valvotomy as shown in table-I.
However, operating on this sub-group of patients with friable myocardium, systemic complications and doing a
ventriculotomy for clot evacuation is especially hazardous.
(1,2) In a patient like ours with repair of an isolated VSD via a right
ventriculotomy and use of a patch to close the defect, ventricular tachyarrhythmias would be more likely than atrial flutter.
Cabrol, "Encircling endocardial
ventriculotomy: a new surgical treatment for life-threatening ventricular tachycardias resistant to medical treatment following myocardial infarction," The Annals of Thoracic Surgery, vol.
Endoscopic extended
ventriculotomy for congenital saccular cysts of the larynx in infants.
This device is contraindicated in patients with active systemic infection, those with an intracardiac mural thrombus, or those who have had a
ventriculotomy or atriotomy in the preceding 4 weeks, and in patients with cryoglobulinemia.
In this procedure, a left
ventriculotomy is performed, and the ventricular aneurysm is reduced in size by exclusion of the scar from the endocardial volume of the left ventricle.
Proventriculotomy or
ventriculotomy has been reported as an effective means for removing gastric foreign bodies in several avian species, including an ostrich (Struthio camelus), (12) a brown kiwi (Apteryx australis mantelli), (13) and a sarus crane (Grus antigone).
[13] Interventional cardiologists must be aware of the presence of multiple ostia in anterior aortic sinuses before doing procedures like right
ventriculotomy for ventricular septal defect or pulmonary stenosis.
During SVR, the ventricular wall was closed using an endoventricular patch in thirty patients (40%) and direct
ventriculotomy closure in the remaining 46 patients (60%).
This is especially true if myocardial performance is weakened by
ventriculotomy as required for repair of a variety of CHDs3.
