A minimally invasive technique for occluding large muscular ventricular septal defects in infants.

Abstract

OBJECTIVE:

This study investigated the feasibility, timing and indications for closure of large muscular ventricular septal defects (VSDs) in infants without use of a cardiopulmonary bypass.

METHODS:

A total of 9 infants with large muscular VSDs ranging in size from 7 to 15 mm were treated by minimally invasive closure without cardiopulmonary bypass between April 2010 and February 2013.

RESULTS:

All surgeries were successful without resulting in uncontrolled systemic infection, a pulmonary hypertensive crisis or a severely low cardiac output, and with an apparently shorter operation time and postoperative tracheal cannula.

CONCLUSIONS:

VSD closure without cardiopulmonary bypass can improve the efficacy and prognosis of infants with large muscular VSDs and concurrent pulmonary infections or respiratory failure.

• Authors: Zibo Gao, Qin Wu, Tianli Zhao, Ni Yin, Lei Gao, Xinhua Xu, Li Xie, Yifeng Yang, Jinfu Yang
• Journal: Cardiology (Cardiology) Vol. 127 Issue 3 Pg. 196-202 ( 2014) ISSN: 1421-9751 [Electronic] Switzerland
• PMID: 24457938 (Publication Type: Evaluation Study, Journal Article)

Topics

• Balloon Occlusion (instrumentation, methods)
• Equipment Design
• Feasibility Studies
• Female
• Follow-Up Studies
• Heart Septal Defects, Ventricular (therapy)
• Humans
• Infant
• Male
• Operative Time
• Postoperative Care (methods)
• Septal Occluder Device
• Treatment Outcome