The Authors reviewed their surgical experience in correction of ventricular septal defects through tricuspid valve. 57 patients out of 59 operated for surgical closure of V.S.D. underwent this technique. All patients remained in sinus rhythm after surgical repair, 40% showed a right bundle block, and only in a case there was a right bundle block plus left anterior emiblock. Clinical conditions of all the patients greatly improved after intervention. Overall mortality in this series was 6.7%. The Authors conclude that trans-atrial approach is safe and advisable technique in surgical management of ventricular septal defects.