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The modified single patch technique
The Annals of Pediatric Cardiology, 06/24/09
Mosca RS et al. - When critically examined, the modified single-patch technique is essentially the same as the two-patch technique, except for the method of VSD closure. At least in the short-intermediate follow-up, the modified single-patch technique performs much better than many predicted, when pertaining to the function of the LAVV and the LVOT. The utility of the modified single-patch technique in the presence of a very large outlet component of the VSD remains unclear. It is likely that in the future it will behoove the surgeon to be experienced with each method and apply each when most appropriate.
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