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DOI: 10.1055/s-0032-1301750
Periventricular Closure of a Perimembranous VSD: Treatment Option in Selected Patients
Publikationsverlauf
07. November 2011
06. Dezember 2011
Publikationsdatum:
25. Januar 2012 (online)
Abstract
Ventricular septal defects (VSDs) are a common congenital heart disease. Usually, surgical repair with cardiopulmonary bypass (CPB) is the treatment of choice, whereas percutaneous techniques have technical limitations, predominantly a mismatch of catheter size and body weight. A 7-year-old girl underwent periventricular closure of a perimembranous VSD on the beating heart. Echocardiography guided implantation through a minimally invasive sternotomy was uneventful. The described approach adds favorably to the current practice avoiding the use of CPB. Cosmetic aspect and rapid early postoperative recovery are convincing.
Conflict of Interest
Z. Zhongyun is an employee of the device manufacturer Shanghai Xingzhuangjiyi Alloy Material Corporation, Shanghai, P. R. China.
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References
- 1 Butera G, Carminati M, Chessa M , et al. Transcatheter closure of perimembranous ventricular septal defects: early and long-term results. J Am Coll Cardiol 2007; 50 (12) 1189-1195
- 2 Andersen HØ, de Leval MR, Tsang VT, Elliott MJ, Anderson RH, Cook AC. Is complete heart block after surgical closure of ventricular septum defects still an issue?. Ann Thorac Surg 2006; 82 (3) 948-956
- 3 Xing Q, Pan S, An Q , et al. Minimally invasive perventricular device closure of perimembranous ventricular septal defect without cardiopulmonary bypass: multicenter experience and mid-term follow-up. J Thorac Cardiovasc Surg 2010; 139 (6) 1409-1415
- 4 Amin Z, Berry JM, Foker JE, Rocchini AP, Bass JL. Intraoperative closure of muscular ventricular septal defect in a canine model and application of the technique in a baby. J Thorac Cardiovasc Surg 1998; 115 (6) 1374-1376
- 5 Bacha EA, Cao QL, Starr JP, Waight D, Ebeid MR, Hijazi ZM. Perventricular device closure of muscular ventricular septal defects on the beating heart: technique and results. J Thorac Cardiovasc Surg 2003; 126 (6) 1718-1723
- 6 Carminati M, Butera G, Chessa M , et al; Investigators of the European VSD Registry. Transcatheter closure of congenital ventricular septal defects: results of the European Registry. Eur Heart J 2007; 28 (19) 2361-2368
- 7 Sullivan ID. Transcatheter closure of perimembranous ventricular septal defect: is the risk of heart block too high a price?. Heart 2007; 93 (3) 284-286