Dacron patch closure of the ventricular septal defect
The ventricular septal defect was closed using an appropriately sized Dacron polyester patch (BardĀ® SavageĀ® filamentous knitted polyester fabric, Bard Peripheral Vascular Inc., Tempe, AZ, USA) and pledgeted 5-0 polypropylene sutures (Johnson and Johnson Ltd., Ethicon, LLC, San Lorenzo, USA). The tricuspid valve was checked for competence injecting cold saline through the tricuspid valve into the right ventricle.