Multicenter experience with perventricular device closure of muscular ventricular septal defects

E. A. Bacha, Q. L. Cao, M. E. Galantowicz, J. P. Cheatham, C. E. Fleishman, Samuel Weinstein, P. A. Becker, S. L. Hill, P. Koenig, E. Alboliras, R. Abdulla, J. P. Starr, Z. M. Hijazi

Research output: Contribution to journalArticle

112 Citations (Scopus)

Abstract

Hybrid procedures are becoming increasingly important, especially in the management of congenital heart lesions for which there are no ideal surgical or interventional options. This report describes a multicenter experience with perventricular muscular venticular septal defect (VSD) device closure. Three groups of patients (n = 12) were identified: infants with isolated muscular VSDs (n = 2), neonates with aortic coarctation and muscular VSDs (n = 3) or patients with muscular VSDs and other complex cardiac lesions (n = 2), and patients with muscular VSDs and pulmonary artery bands (n = 5). Via a sternotomy or a subxyphoid approach, the right ventricle (RV) free wall was punctured under transesophageal echocardiography guidance. A guidewire was introduced across the largest defect. A short delivery sheath was positioned in the left ventricle cavity. An Amplatzer muscular VSD occluding device was deployed across the VSD. Cardiopulmonary bypass was needed only for repair of concomitant lesions, such as double-outlet right ventricle, aortic coarctation, or pulmonary artery band removal. No complications were encountered using this technique. Discharge echocardiograms showed either mild or no significant shunting across the ventricular septum. At a median follow-up of 12 months, all patients were asymptomatic and 2 patients had mild residual ventricular level shunts. Perventricular closure of muscular VSDs is safe and effective for a variety of patients with muscular VSDs.

Original languageEnglish (US)
Pages (from-to)169-175
Number of pages7
JournalPediatric Cardiology
Volume26
Issue number2
DOIs
StatePublished - Apr 2005
Externally publishedYes

Fingerprint

Ventricular Heart Septal Defects
Equipment and Supplies
Aortic Coarctation
Pulmonary Artery
Heart Ventricles
Double Outlet Right Ventricle
Ventricular Septum
Sternotomy
Transesophageal Echocardiography
Cardiopulmonary Bypass
Newborn Infant

Keywords

  • Congenital heart defects
  • Heart septal defects

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pediatrics, Perinatology, and Child Health

Cite this

Bacha, E. A., Cao, Q. L., Galantowicz, M. E., Cheatham, J. P., Fleishman, C. E., Weinstein, S., ... Hijazi, Z. M. (2005). Multicenter experience with perventricular device closure of muscular ventricular septal defects. Pediatric Cardiology, 26(2), 169-175. https://doi.org/10.1007/s00246-004-0956-2

Multicenter experience with perventricular device closure of muscular ventricular septal defects. / Bacha, E. A.; Cao, Q. L.; Galantowicz, M. E.; Cheatham, J. P.; Fleishman, C. E.; Weinstein, Samuel; Becker, P. A.; Hill, S. L.; Koenig, P.; Alboliras, E.; Abdulla, R.; Starr, J. P.; Hijazi, Z. M.

In: Pediatric Cardiology, Vol. 26, No. 2, 04.2005, p. 169-175.

Research output: Contribution to journalArticle

Bacha, EA, Cao, QL, Galantowicz, ME, Cheatham, JP, Fleishman, CE, Weinstein, S, Becker, PA, Hill, SL, Koenig, P, Alboliras, E, Abdulla, R, Starr, JP & Hijazi, ZM 2005, 'Multicenter experience with perventricular device closure of muscular ventricular septal defects', Pediatric Cardiology, vol. 26, no. 2, pp. 169-175. https://doi.org/10.1007/s00246-004-0956-2
Bacha, E. A. ; Cao, Q. L. ; Galantowicz, M. E. ; Cheatham, J. P. ; Fleishman, C. E. ; Weinstein, Samuel ; Becker, P. A. ; Hill, S. L. ; Koenig, P. ; Alboliras, E. ; Abdulla, R. ; Starr, J. P. ; Hijazi, Z. M. / Multicenter experience with perventricular device closure of muscular ventricular septal defects. In: Pediatric Cardiology. 2005 ; Vol. 26, No. 2. pp. 169-175.
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