Document Detail


Perimembranous ventricular septal defect with aneurysm: two options for transcatheter closure.
MedLine Citation:
PMID:  22163127     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present our experience with 2 options for device closure of perimembranous ventricular septal defect with aneurysm. Thirty-four patients with perimembranous ventricular septal defect with aneurysm, aged from 14 to 42 years, underwent transcatheter closure with modified double-disk occluders. A sheath was used to deliver the occluder after establishment of a stable "arteriovenous loop" under fluoroscopy. Electrocardiography and transthoracic echocardiography were used for follow-up. All but 1 patient experienced successful transcatheter closure of perimembranous ventricular septal defect with aneurysm, when occluders were used in 2 different positions. There were 19 patients whose perimembranous ventricular septal defects were closed at the inlet of the aneurysm and 15 patients whose defects were closed at the outlet. Eight patients had a residual shunt immediately after the procedure, which disappeared during follow-up. One patient developed minor aortic regurgitation. Four patients who manifested different types of conductive block were all in the group that underwent closure at the inlet of the aneurysm. No other complications were observed during follow-up.We infer that perimembranous ventricular septal defect with aneurysm can be successfully closed with modified double-disk occluders. Each of the 2 options that we have presented for transcatheter closure of perimembranous ventricular septal defect with aneurysm has its advantages and disadvantages. Ultimately, the configuration of the lesion should decide the type and position of the device.
Authors:
Chang Bian; Ji Ma; Jian'an Wang; Geng Xu; Jun Jiang; Shuyuan Yao; Yuehuai Liu
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital     Volume:  38     ISSN:  1526-6702     ISO Abbreviation:  Tex Heart Inst J     Publication Date:  2011  
Date Detail:
Created Date:  2011-12-14     Completed Date:  2012-11-13     Revised Date:  2013-06-27    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  528-32     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, People's Republic of China.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Cardiac Catheterization / adverse effects,  instrumentation,  methods*
China
Heart Aneurysm / complications,  diagnosis,  therapy*
Heart Septal Defects, Ventricular / complications,  diagnosis,  therapy*
Humans
Patient Selection
Prosthesis Design
Septal Occluder Device
Time Factors
Treatment Outcome
Young Adult
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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