Document Detail

Delayed closure of multiple muscular ventricular septal defects in an infant after coarctation repair and a hybrid procedure--a case report.
MedLine Citation:
PMID:  21345780     Owner:  NLM     Status:  MEDLINE    
There are several strategies of surgical approach for the repair of multiple muscular ventricular septal defects (mVSDs), but none leads to a fully predictable, satisfactory therapeutic outcome in infants. We followed a concept of treating multiple mVSDs consisting of a hybrid approach based on intraoperative perventricular implantation of occluding devices. In this report, we describe a 2-step procedure consisting of a final hybrid approach for multiple mVSDs in the infant following initial coarctation repair with pulmonary artery banding in the newborn. At 7 months, sternotomy and debanding were performed, the right ventricle was punctured under transesophageal echocardiographic guidance, and the 8-mm device was implanted into the septal defect. Color Doppler echocardiography results showed complete closure of all VSDs by 11 months after surgery, probably via a mechanism of a localized inflammatory response reaction, ventricular septum growth, and implant endothelization.
Ireneusz Haponiuk; Maciej Chojnicki; Radosław Jaworski; Jacek Juściński; Mariusz Steffek; Lucyna Pałkowska
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The heart surgery forum     Volume:  14     ISSN:  1522-6662     ISO Abbreviation:  Heart Surg Forum     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-02-24     Completed Date:  2011-07-18     Revised Date:  2011-08-05    
Medline Journal Info:
Nlm Unique ID:  100891112     Medline TA:  Heart Surg Forum     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E67-9     Citation Subset:  IM    
Department of Pediatric Cardiac Surgery, Mikołaj Kopernik Pomeranian Centre of Traumatology, Gdańsk, Poland.
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MeSH Terms
Abnormalities, Multiple / surgery*
Aortic Coarctation / surgery*
Combined Modality Therapy
Heart Septal Defects, Ventricular / complications*,  surgery*
Infant, Newborn
Reconstructive Surgical Procedures / methods*
Treatment Outcome

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