Academic Journal
Perventricular device closure of isolated muscular ventricular septal defect in infants: A single centre experience
العنوان: | Perventricular device closure of isolated muscular ventricular septal defect in infants: A single centre experience |
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المؤلفون: | Bhavesh Thakkar, Nehal Patel, Shaunak Shah, Vishal Poptani, Tarun Madan, Chirag Shah, Anand Shukla, Vaishali Prajapati |
المصدر: | Indian Heart Journal, Vol 64, Iss 6, Pp 559-567 (2012) |
بيانات النشر: | Elsevier, 2012. |
سنة النشر: | 2012 |
المجموعة: | LCC:Surgery LCC:Diseases of the circulatory (Cardiovascular) system |
مصطلحات موضوعية: | Congenital heart disease, Muscular VSD, Perventricular, Hybrid interventions, Infants, Surgery, RD1-811, Diseases of the circulatory (Cardiovascular) system, RC666-701 |
الوصف: | Objectives: To evaluate prospective single centre experience of mid-term safety and efficacy of perventricular device closure of isolated large muscular ventricular septal defect (mVSD) in high-risk infants. Background: Surgical closures of large mVSD in infants represent a challenge with significant morbidity. Methods: Between August 2008–2010, perventricular closure was attempted in 24 infants of 6.01 ± 2.37 months age and 4.27 ± 0.56 kg weight under TEE guidance. Results: The device was successfully deployed in 21/24 infants. Size of mVSD was 8.42 ± 1.46 mm (6.1–12 mm). Mean procedure time was 28.8 ± 11.7 min. The closure rate was 84% immediately and 100% at 6 months. Four patients suffered major complications: 2-died, 1-esophageal perforation, 1-persistent CHB. At 26.23 ± 6.63 months follow-up two patients were symptomatic: 1-required device retrieval, 1-died of severe gastroenteritis. Conclusion: Perventricular device closure of isolated mVSD appears feasible option at mid-term follow-up and may either substitute or complement the conventional surgical technique in selected cases depending on institutional paediatric cardiac surgery performance. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 0019-4832 |
Relation: | http://www.sciencedirect.com/science/article/pii/S0019483212001472; https://doaj.org/toc/0019-4832 |
DOI: | 10.1016/j.ihj.2012.09.006 |
URL الوصول: | https://doaj.org/article/df4d3e52b38a4e448d7478dc8271d35c |
رقم الانضمام: | edsdoj.f4d3e52b38a4e448d7478dc8271d35c |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 00194832 |
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DOI: | 10.1016/j.ihj.2012.09.006 |