Initial results of primary device closure of large muscular ventricular septal defects in early infancy using perventricular access

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
D S CrosslandG K Lane

Abstract

To report our experience with the use of the Amplatzer muscular ventricular septal defect (VSD) occluder, using direct right ventricle free wall puncture for primary closure of muscular VSDs in infants. Young infants with heart failure due to large or multiple muscular VSDs often require intervention at a stage when percutaneous device closure is impractical due to delivery system limitations. There are considerable benefits to avoiding bypass in these infants. Patients with suitable muscular VSDs, considered too small for transvenous closure, underwent periventricular muscular VSD closure under transesophageal echo (TEE) guidance. Eight infants underwent the procedure. The median age was 14 weeks (2-41) with median weight of 4 kg (3-6.6). Four patients had additional VSDs and one patient had previous repair of coarctation. One patient had dextrocardia and severe left ventricular impairment due to an associated cardiomyopathy. The median VSD size was 8 mm (range, 4-10 mm). A single device (6-12 mm) was deployed in each patient, the size chosen being 1-2 mm larger than the TEE measurement. Two patients had subsequent pulmonary artery banding, with absorbable bands, because of moderate residual shunting through additional VSDs. T...Continue Reading

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Citations

Jun 6, 2013·General Thoracic and Cardiovascular Surgery·Tetsuya KitagawaHirotsugu Kurobe
Jul 31, 2013·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Ireneusz HaponiukBohdan Maruszewski
Dec 21, 2012·Indian Heart Journal·Nageswara Rao Koneti
Jun 26, 2013·The Canadian Journal of Cardiology·Adrian DanceaGiuseppe Martucci
Feb 16, 2013·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Ke LinQi An
May 5, 2011·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Edgard A BendalyJohn P Breinholt
Jun 3, 2010·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Ina Michel-BehnkeUNKNOWN Investigators of the Working Group Interventional Cardiology of the German Association of Pediatric Cardiology
Apr 26, 2014·Journal of Cardiac Surgery·Senlin YinQi An
Sep 3, 2013·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Peter ZartnerMartin B E Schneider
Mar 24, 2016·Expert Review of Cardiovascular Therapy·Ralf J HolzerZiyad M Hijazi
Jan 13, 2015·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Sok Leng KangRobin Martin
May 4, 2015·Surgery Today·Naoki YoshimuraMari Sakai
Mar 16, 2017·Expert Review of Cardiovascular Therapy·Hitesh AgrawalDamien Kenny
May 11, 2010·Expert Review of Cardiovascular Therapy·Carlos A C PedraZahid Amin
Apr 4, 2017·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Michael DaleyYves d'Udekem
Aug 15, 2017·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Robert G GrayBrent M Gordon

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