Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-10T05:43:39.913Z Has data issue: false hasContentIssue false
  • English
  • Français

A case of hybrid closure of a muscular ventricular septal defect: anatomical complexity and surgical management

Published online by Cambridge University Press:  03 November 2011

Mohsen Karimi ,
Elise Hulsebus ,
Kenneth Murdison  and
Henry Wiles
Mohsen Karimi*
Affiliation:
Department of Surgery, Division of Pediatric Cardiothoracic Surgery, Medical College of Georgia, Children's Medical Center, Augusta, Georgia, United States of America
Elise Hulsebus
Affiliation:
Department of Surgery, Division of Pediatric Cardiothoracic Surgery, Medical College of Georgia, Children's Medical Center, Augusta, Georgia, United States of America
Kenneth Murdison
Affiliation:
Department of Pediatrics, Section of Pediatric Cardiology, Medical College of Georgia, Children's Medical Center, Augusta, Georgia, United States of America
Henry Wiles
Affiliation:
Department of Pediatrics, Section of Pediatric Cardiology, Medical College of Georgia, Children's Medical Center, Augusta, Georgia, United States of America
*
Correspondence to: Dr M. Karimi, MD, Associate Professor of Surgery and Pediatrics, Pediatric Cardiothoracic Surgery, Medical College of Georgia/Children's Medical Center, 1446 Harper Street, BP-3107, Augusta, Georgia 30912-4050, United States of America. Tel: +1 706 721 5527; Fax: +1 706 721 7113; E-mail: mkarimi@georgiahealth.edu
Get access Rights & Permissions [Opens in a new window]

Abstract

Complex muscular ventricular septal defect poses difficult surgical management and is associated with high morbidity and mortality despite advancements in surgical therapy. Device closure of muscular ventricular septal defect has been encouraging and has been used in hybrid approach at a few centres. However, device closure has some limitations in patients with complex muscular ventricular septal defect. We report a case of perventricular device closure of a complex muscular ventricular septal defect in a beating heart with entrapped right ventricular disc and its surgical management.

Keywords

Muscular ventricular septal defectdevice closurehybrid procedure
Type
Brief Report
Information
Cardiology in the Young , Volume 22 , Issue 3 , June 2012 , pp. 356 - 359
Copyright
Copyright © Cambridge University Press 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.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: 1374–1376.CrossRefGoogle Scholar
2.Amin, Z, Gy, X, Berry, JM, et al. . New device for closure of muscular ventricular septal defects in a canine model. Circulation 1999; 100: 320–328.CrossRefGoogle Scholar
3.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: 1718–1723.CrossRefGoogle ScholarPubMed
4.Diab, KA, Cao, QL, Hijazi, ZM. Perventricular closure of muscular ventricular septal defects: How do I do it? Ann Pediatr Cardiol 2008; 1: 27–33.Google ScholarPubMed
5.Diab, KA, Hijazi, ZM, Cao, QL, Bacha, EA. A truly hybrid approach to perventricular closure of multiple muscular ventricular septal defects. J Thorac Cardiovasc Surg 2005; 130: 892–893.CrossRefGoogle ScholarPubMed
6.Bacha, EA, Cao, QL, Galantowicz, ME, Cheatham, JP, Fleishman, CE, Weinstein, SW. Multicenter experience with perventricular device closure of muscular ventricular septal defects. Pediatr Cardiol 2005; 26: 169–175.CrossRefGoogle ScholarPubMed
7.Lim, DS, Forbes, TJ, Rothman, A, Lock, JE, Landzberg, MJ. Transcatheter closure of high-risk muscular ventricular septal defects with the CardioSEAL occluder: initial report from the CardioSEAL VSD registry. Catheter Cardiovasc Interv 2007; 70: 740–744.CrossRefGoogle ScholarPubMed
8.Maheshwari, S, Suresh, PV, Bansal, M, Mishra, A, Sharma, R, Amin, Z. Perventricular device closure of muscular ventricular septal defects on the beating heart. Indian Heart J 2004; 56: 333–335.Google ScholarPubMed
9.Crossland, DS, Wilkinson, JL, Cochrane, AD, d'Udekem, Y, Brizard, CP, Lane, GK. Initial results of primary device closure of large muscular ventricular septal defects in early infancy using perventricular access. Catheter Cardiovasc Interv 2008; 72: 386–391.CrossRefGoogle ScholarPubMed