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Hybrid transthoracic periventricular device closure of ventricular septal defects: single-center experience
Wu, Liying; Tanidir, Ibrahim Cansaran; Ye, DongTing; Zhang, Xiong; Li, Bin; Zhu, Daliang; Deng, Gaopi; Chen, Haisheng.
  • Wu, Liying; South China University of Technology. Guangzhou First Peoples Hospital, School of Medicine. Department of Cardiovascular Surgery. Guangzhou. CN
  • Tanidir, Ibrahim Cansaran; Istanbul Saglik Bilimleri University Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Education and Research Hospital. Department of Pediatric Cardiology. Istanbul. TR
  • Ye, DongTing; South China University of Technology. Guangzhou First Peoples Hospital, School of Medicine. Department of Cardiovascular Surgery. Guangzhou. CN
  • Zhang, Xiong; South China University of Technology. Guangzhou First Peoples Hospital, School of Medicine. Department of Cardiovascular Surgery. Guangzhou. CN
  • Li, Bin; South China University of Technology. Guangzhou First Peoples Hospital, School of Medicine. Department of Cardiovascular Surgery. Guangzhou. CN
  • Zhu, Daliang; South China University of Technology. Guangzhou First Peoples Hospital, School of Medicine. Department of Cardiovascular Surgery. Guangzhou. CN
  • Deng, Gaopi; The First Affiliated Hospital of Guangzhou University of Chinese Medicine. Department of Gynecology. Guangzhou. CN
  • Chen, Haisheng; South China University of Technology. Guangzhou First Peoples Hospital, School of Medicine. Department of Cardiovascular Surgery. Guangzhou. CN
Rev. bras. cir. cardiovasc ; 36(1): 48-56, Jan.-Feb. 2021. tab, graf
Article in English | LILACS | ID: biblio-1155787
ABSTRACT
Abstract

Objective:

To evaluate the efficacy of hybrid transthoracic periventricular device closure of ventricular septal defects (VSDs) in a single center.

Methods:

All patients who underwent hybrid transthoracic periventricular device closure of VSDs between January 2018 and December 2019 were retrospectively analyzed. The preoperative, operative and postoperative findings and clinical follow-ups were reviewed.

Results:

A total of 59 patients underwent the procedure. Transesophageal echocardiographic guidance was used in all procedures. The procedure was successful in 57 procedures (97%). The procedures of two patients were changed to open-heart surgery during the same intervention due to severe aortic insufficiency (the device was not deployed) and significant residual shunt after device deployment. One major complication (1.7%) was observed after the procedure. The patient's device was dislodged within 12 hours after the procedure, and this patient underwent device extraction and VSD patch closure due to significant residual shunt. Eight (14%) minor complications were observed after the procedure, and three of them persisted during follow-up. Three of these eight complications were incomplete right bundle branch block, one of which resolved during follow-up; two were mild residual shunts, one of which resolved during follow-up; two were mild new-onset tricuspid valve insufficiencies; and one was mild new-onset mitral valve insufficiency; all valvular insufficiencies were resolved during follow-up.

Conclusions:

Hybrid transthoracic periventricular device closure of VSD seems to be a good alternative approach due to its procedural success and low risk rates. The best advantage of the procedure is the possibility of switching to open-heart surgery, if necessary.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Septal Occluder Device / Heart Septal Defects, Ventricular Type of study: Practice guideline / Observational study / Prognostic study / Risk factors Limits: Female / Humans / Infant / Male Language: English Journal: Rev. bras. cir. cardiovasc Journal subject: Cardiology / General Surgery Year: 2021 Type: Article Affiliation country: China / Turkey Institution/Affiliation country: Istanbul Saglik Bilimleri University Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Education and Research Hospital/TR / South China University of Technology/CN / The First Affiliated Hospital of Guangzhou University of Chinese Medicine/CN

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Full text: Available Index: LILACS (Americas) Main subject: Septal Occluder Device / Heart Septal Defects, Ventricular Type of study: Practice guideline / Observational study / Prognostic study / Risk factors Limits: Female / Humans / Infant / Male Language: English Journal: Rev. bras. cir. cardiovasc Journal subject: Cardiology / General Surgery Year: 2021 Type: Article Affiliation country: China / Turkey Institution/Affiliation country: Istanbul Saglik Bilimleri University Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Education and Research Hospital/TR / South China University of Technology/CN / The First Affiliated Hospital of Guangzhou University of Chinese Medicine/CN