Percutaneous Device Occlusion and Minimally Invasive Surgical Repair for Perimembranous Ventricular Septal Defect

Laubry-Pezzi syndrome is a congenital heart disease that consist in a prolapse of aortic valve cusping into a subjacent ventricular septal defect due to Venturi effect. It results in progressive aortic valve insufficiency. The perimembranous type is the most common due to the proximity of the aortic annulus to such defects. The aim of this report is to highlight the specificity of the diagnosis and the surgical management of this syndrome in adult patients.

Download Full-text

Transesophageal Echocardiography-guided Minimally Invasive Surgical Device Closure of an Unusually Shaped Residual Ventricular Septal Defect in a Child

The Heart Surgery Forum ◽

10.1532/hsf98.2014350 ◽

2014 ◽

Vol 17 (4) ◽

pp. 187

Author(s):

Lei Gao ◽

Qin Wu ◽

Xinhua Xu ◽

Tianli Zhao ◽

Wancun Jin ◽

...

Keyword(s):

Ventricular Septal Defect ◽

Minimally Invasive ◽

Right Ventricle ◽

Transesophageal Echocardiography ◽

Septal Defect ◽

Double Outlet Right Ventricle ◽

Surgical Correction ◽

Device Closure ◽

Minimally Invasive Surgical ◽

Surgical Device

Closure of residual ventricular septal defect with an occluder is traditionally performed by a percutaneous transcatheter approach under radiographic guidance. However, this procedure may be of limited use in cases with unusually shaped defects and in patients with low body weight. Here, we report minimally invasive surgical device closure of a 6 mm residual ventricular septal defect under transesophageal echocardiographic guidance, in a patient weighing 10 kg that had previously undergone surgical correction of a double outlet right ventricle. The defect was positioned in the suture line between the Gore-Tex vascular graft and the remnant ventricular septum, and was unusual in that it formed a 135� angle with the Gore-Tex graft. The defect was closed successfully with a 10 mm asymmetric occluder. To the best of our knowledge, this is the first report of transesophageal echocardiography-guided minimally invasive surgical device closure of an unusually shaped residual ventricular septal defect after surgical correction of a double-outlet right ventricle.

Download Full-text

Importance of transcatheter closure test for giant ventricular septal defect associated with pulmonary hypertension: a case with successful surgical repair of the defect

Cardiology in the Young ◽

10.1017/s104795111800046x ◽

2018 ◽

Vol 28 (8) ◽

pp. 1053-1055

Author(s):

Xiaoke Shang ◽

Rong Lu ◽

Nianguo Dong

Keyword(s):

Pulmonary Hypertension ◽

Ventricular Septal Defect ◽

Alternative Assessment ◽

Clinical Evidence ◽

Septal Defect ◽

Surgical Repair ◽

Transcatheter Closure ◽

Definitive Treatment ◽

Perimembranous Ventricular Septal Defect ◽

Cardiac Surgeons

AbstractThis is the first attempt to use a temporary occluder to close a giant perimembranous ventricular septal defect (32 mm), which obtains clinical evidence of good haemodynamics in patients with severe pulmonary hypertension. This may provide an alternative assessment to guide cardiac surgeons in determining a definitive treatment.

Download Full-text