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(A): Aorta cross-clamp by Chitwood clamp, antegrade cardioplegia using Custodiol HTK solution via aortic root with aorta needle via chest wall puncture; (B): Peri-membranous VSD extended into inlet septum (white arrow), many tendons crossed the upper and lower margin of the defect; (C, D): VSD closure using artificial patch, continuous combined with interrupted suture.
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The VSD was closed using artificial patch, continuous combined with interrupted suture (Fig. 1).
(A): Surgical scars prior to discharge; (B): Artificial patch (white arrow) in parasternal short axis view.
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Her family was very satisfied with the results (Fig. 2).