scholarly journals A hybrid procedure for the closure of a large muscular ventricular septal defect in a 6-month-old infant

2020 ◽  
Author(s):  
Dijana Popevski ◽  
Ivan Milev ◽  
Rodney Alexander Rosalia ◽  
Steven Bibevski ◽  
Zan Mitrev
Keyword(s):  
Ventricular Septal Defect ◽  
Pulmonary Artery ◽  
Heart Surgery ◽  
Septal Defect ◽  
Open Heart Surgery ◽  
Hybrid Procedure ◽  
Open Heart ◽  
Device Closure ◽  
Invasive Approach ◽  
Muscular Vsd

Abstract Background: Transthoracic device closure (TTDC), also known as a Hybrid procedure, has been proposed as an alternative, less invasive approach compared to open-heart surgery for the treatment of ventricular septal defect (VSD). Case Presentation: We present our first national case of TTDC in a 6-month-old female baby with a muscular 8mm ventricular septal defect, 3 mm atrial defect, enlarged right and left ventricle and a dilated pulmonary artery complicated by severe pulmonary hypertension.Treatment consisted of two pulmonary artery banding attempts at the age of 2 months to control pulmonary hypertension – the interventions were combined with diuretics and angiotensin-converting enzymes inhibitors. Yet, the initial approach was suboptimal as we noticed a failure to thrive continuous sweating and tachypnea. Because of the worsening condition at the age of 6 months, and a weight of 6.6 kg, we performed TTDC. After median sternotomy, a 10mm muscular VSD occluder was implanted under trans-oesophagal echocardiography guidance on the beating heart. The procedure lasted 90 min and was performed without incident; the hemodynamics were stable with only a minor residual VSD. The child was extubated after 2 hours and discharged after five days from the hospital.Conclusions: Transthoracic device closure (TTDC) is a promising treatment modality for large muscular VSD in small infants with low weight. TTDC is feasible in cases with heavy myocardial right ventricle trabeculae and who previously underwent open-heart surgery.

scholarly journals A hybrid procedure for the closure of a large muscular ventricular septal defect in a 6-month-old infant

2020 ◽  
Author(s):  
Dijana Popevski ◽  
Ivan Milev ◽  
Simona Despotovska ◽  
Rodney Alexander Rosalia ◽  
Steven Bibevski ◽  
...  
Keyword(s):  
Ventricular Septal Defect ◽  
Pulmonary Artery ◽  
Heart Surgery ◽  
Septal Defect ◽  
Open Heart Surgery ◽  
Hybrid Procedure ◽  
Open Heart ◽  
Device Closure ◽  
Invasive Approach ◽  
Muscular Vsd

Abstract Background: Transthoracic device closure (TTDC), also known as a Hybrid procedure, has been proposed as an alternative, less invasive approach compared to open-heart surgery for the treatment of ventricular septal defect (VSD). Case Presentation: We present our first national case of TTDC in a 6-month-old female baby with a muscular 8mm ventricular septal defect, 3 mm atrial defect, enlarged right and left ventricle and a dilated pulmonary artery complicated by severe pulmonary hypertension.Treatment consisted of two pulmonary artery banding attempts at the age of 2 months to control pulmonary hypertension – the interventions were combined with diuretics and angiotensin-converting enzymes inhibitors. Yet, the initial approach was suboptimal as we noticed a failure to thrive continuous sweating and tachypnea. Because of the worsening condition at the age of 6 months, and a weight of 6.6 kg, we performed TTDC. After median sternotomy, a 10mm muscular VSD occluder was implanted under trans-oesophagal echocardiography guidance on the beating heart. The procedure lasted 90 min and was performed without incident; the hemodynamics were stable with only a minor residual VSD. The child was extubated after 2 hours and discharged after five days from the hospital.Conclusions: Transthoracic device closure (TTDC) is a promising treatment modality for large muscular VSD in small infants with low weight. TTDC is feasible in cases with heavy myocardial right ventricle trabeculae and who previously underwent open-heart surgery.

scholarly journals A hybrid procedure for the closure of a large muscular ventricular septal defect in a 6-month-old infant

2020 ◽  
Author(s):  
Dijana Popevski ◽  
Ivan Milev ◽  
Simona Despotovska ◽  
Rodney Alexander Rosalia ◽  
Steven Bibevski ◽  
...  
Keyword(s):  
Ventricular Septal Defect ◽  
Pulmonary Artery ◽  
Heart Surgery ◽  
Septal Defect ◽  
Open Heart Surgery ◽  
Hybrid Procedure ◽  
Open Heart ◽  
Device Closure ◽  
Invasive Approach ◽  
Muscular Vsd

Abstract Background: Transthoracic device closure (TTDC), also known as a Hybrid procedure, has been proposed as an alternative, less invasive approach compared to open-heart surgery for the treatment of ventricular septal defect (VSD). Case Presentation: We present our first national case of TTDC in a 6-month-old female baby with a muscular 8mm ventricular septal defect, 3 mm atrial defect, enlarged right and left ventricle and a dilated pulmonary artery complicated by severe pulmonary hypertension.Treatment consisted of two pulmonary artery banding attempts at the age of 2 months to control pulmonary hypertension – the interventions were combined with diuretics and angiotensin-converting enzymes inhibitors. Yet, the initial approach was suboptimal as we noticed a failure to thrive continuous sweating and tachypnea. Because of the worsening condition at the age of 6 months, and a weight of 6.6 kg, we performed TTDC. After median sternotomy, a 10mm muscular VSD occluder was implanted under trans-oesophagal echocardiography guidance on the beating heart. The procedure lasted 90 min and was performed without incident; the hemodynamics were stable with only a minor residual VSD. The child was extubated after 2 hours and discharged after five days from the hospital.Conclusions: Transthoracic device closure (TTDC) is a promising treatment modality for large muscular VSD in small infants with low weight. TTDC is feasible in cases with heavy myocardial right ventricle trabeculae and who previously underwent open-heart surgery.

The protective effect of a leucocyte removal filter on the lung in open-heart surgery for ventricular septal defect

Perfusion ◽  
1998 ◽  
Vol 13 (1) ◽  
pp. 27-34 ◽  
Author(s):  
Hiroyoshi Komai ◽  
Yasuaki Naito ◽  
Keiichi Fujiwara ◽  
Yusaku Takagaki ◽  
Yasuzo Noguchi ◽  
...  
Keyword(s):  
Ventricular Septal Defect ◽  
Protective Effect ◽  
Heart Surgery ◽  
Septal Defect ◽  
Open Heart Surgery ◽  
Control Group ◽  
Protective Effects ◽  
Open Heart ◽  
Lung Dysfunction ◽  
Removal Group

We elucidated the protective effect of a leucocyte removal filter on cardiopulmonary bypass (CPB)-induced lung dysfunction during open-heart surgery for ventricular septal defect (VSD). Forty-six VSD patients were divided into two groups: (a) a control group of 22 patients in whom the banked blood was used to prime the CPB circuit, and (b) a leucocyte removal group of 24 patients in whom a leucocyte removal filter was used for priming and every supplement of banked blood during and after the operation. The respiratory index immediately after the CPB was significantly lower in the leucocyte removal group than in the control group (2.23 ± 0.22 vs 3.90 ± 0.68; p < 0.05). The duration of stay in the intensive care unit was significantly shorter in the leucocyte removal group (3.0 ± 0.4 vs 4.1 ± 0.4 days; p < 0.05). These data suggest that the use of a leucocyte removal filter for blood added to the CPB prime or administered after CPB may have protective effects on lung function after open heart surgery for VSD patients.

Long-term evaluation (11–24 years) of open heart surgery for pulmonary atresia with ventricular septal defect

1982 ◽  
Vol 49 (4) ◽  
pp. 1035
Author(s):  
Valentin Fuster ◽  
Michael D. McGoon ◽  
Margaret M. Beahrs ◽  
Donald G. Ritter ◽  
Dwight C. McGoon
Keyword(s):  
Ventricular Septal Defect ◽  
Heart Surgery ◽  
Septal Defect ◽  
Open Heart Surgery ◽  
Pulmonary Atresia ◽  
Open Heart ◽  
Term Evaluation

scholarly journals Hybrid Surgical Approach Using Amplatzer Occluder for Treatment of VSD in a Cat

2017 ◽  
Vol 40 (2) ◽  
pp. 183-187
Author(s):  
Akiko Uemura ◽  
Ryou Tanaka
Keyword(s):  
Ventricular Septal Defect ◽  
Heart Surgery ◽  
Septal Defect ◽  
Open Heart Surgery ◽  
Balloon Catheter ◽  
Hybrid Technique ◽  
Open Heart ◽  
Special Equipment ◽  
Direct Puncture ◽  
Congenital Heart Malformations

AbstractVentricular septal defect (VSD) is among the most common feline congenital heart malformations. Although usually treated by pulmonary artery banding or pharmacotherapy, neither method is curative. Curative procedures have been performed in humans. Treatment of VSD is usually not required in dogs and cats, but is necessary in cases of non-restrictive VSD. Dogs with non-restrictive VSD are treated either using surgical correction under open-heart surgery, or percutaneous insertion of an occluder under interventional radiation. In our experience, neither method alone is appropriate for treating ventricular septal defect in cats with non-restrictive VSDs. We have applied a hybrid surgical method in a 13-month-old, female Maine Coon cat weighing 3.5 kg. A catheter was inserted and an occluder placed directly at the defect through thoracotomy. This method is less invasive than open-heart surgery and requires no special equipment, using direct puncture of the heart to minimize the distance to the defect and improving maneuverability. By combining the advantages of both surgical defect closure and occlusion guided by interventional ultrasound, treatment that could not be performed with either method alone became possible. In this case, the VSD could not be embolized, but some important points were suggested regarding surgical treatment of VSD in cats. One is that a sizing balloon catheter may be the most accurate method to measure VSD in cats. Amplatzer occlusion of a large non-restrictive VSD in a cat is currently not an option, but the described hybrid technique may still be an option for smaller non-restrictive VSDs. However, criteria and adjustments must be considered carefully.

Axillary artery: An unanticipated choice of access in the cath lab!

2021 ◽  
pp. 021849232110264
Author(s):  
Puneet Varma ◽  
Bharath A Paraswanath ◽  
Anand Subramanian ◽  
Jayaranganath Mahimarangaiah
Keyword(s):  
Hospital Stay ◽  
Heart Surgery ◽  
Septal Defect ◽  
Axillary Artery ◽  
Open Heart Surgery ◽  
Open Heart ◽  
Ventricular Septal Defects ◽  
Septal Defects ◽  
Rare Site

Ventricular septal defects are increasingly being closed by transcatheter technique, with lesser morbidity and shorter hospital stay compared to open heart surgery. We report a case of embolization of a duct occluder deployed in a posterior muscular septal defect. The rare site of embolization necessitated an unusual approach for retrieval prior to subsequent closure using a double-disc device.

scholarly journals CONGENITALABSENCE OF LEFT PERICARDIUM AND MEDIASTINAL PLEURA: A RARE INCIDENTAL FINDING DURING OPEN HEART SURGERY.

2020 ◽  
pp. 36-37
Author(s):  
Varuna Varma ◽  
Ankit Thukral
Keyword(s):  
Heart Surgery ◽  
Septal Defect ◽  
Pleural Cavity ◽  
Incidental Finding ◽  
Open Heart Surgery ◽  
Open Heart ◽  
Atrial Septal Defect Closure ◽  
Pericardial Defect ◽  
Left Pleural Cavity ◽  
Mediastinal Pleura

9 Year old male child planned for elective Atrial Septal Defect closure Surgery.He had a incidental Intra Operative finding of Partial pericardial defect on left side with Pericardial Herniation in left pleural cavity.

scholarly journals The Anesthesia & Anesthetists of the First Open Heart Surgery of Bangladesh

2021 ◽  
Vol 36 (1) ◽  
pp. 55-60
Author(s):  
Suman Nazmul Hosain ◽  
Farzana Amin ◽  
Shahnaz Ferdous
Keyword(s):  
College Student ◽  
Cardiovascular Diseases ◽  
Human Resources ◽  
Heart Surgery ◽  
Septal Defect ◽  
Open Heart Surgery ◽  
Open Heart ◽  
Success Story ◽  
Direct Closure ◽  
Over Time

Although a few closed heart operations were performed in the late 1960s, well organized approach to open heart surgery began in Bangladesh only after establishment of Institute of Cardiovascular Diseases (ICVD) in 1978. A Japanese team of surgeons, anesthetists, nurses and technicians provided extensive support in capacity building of the local human resources. Ultimately the first open heart surgery of Bangladesh, the direct closure of Atrial Septal Defect of an 18 year old college student, was performed on 18th September 1981. It was great news of that time. People came to know about the success story of the ICVD director then Colonel M Abdul Malik, a renowned cardiologist cum team leader and the Bangladeshi surgeon duo Dr M Nabi Alam Khan and Dr S R Khan. But somehow the anesthetists, an important part of the team were out of focus and have been forgotten over time. Led by Prof Khalilur Rahman, the anesthetist team of the day included Dr Nurul Islam, Dr Abdul Hadi, Dr Delowar Hossain, Dr A Y F Ellahi Chowdhury and Dr Monir Hossain. This article is an attempt to remind their contribution and expressing respect and gratitude to the anesthetists of that pioneering team. Bangladesh Heart Journal 2021; 36(1) : 55-60

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