Intraoperative Device Closure of Subaortic Ventricular Septal Defects

    loading  Checking for direct PDF access through Ovid

Abstract

Objectives

To evaluate the safety and the indication for percardiac device closure of subaortic ventricular septal defects (VSDs) under guidance of transesophageal echocardiography.

Methods

A total of 62 patients with VSDs immediately below the aortic valve underwent percardiac device closure without cardiopulmonary bypass.

Results

There were no deaths. Of 62 patients, 52 (83.9%) underwent successful closure and 10 (16.1%) were converted to open-heart surgery due to tricuspid regurgitation, aortic regurgitation, and a residual shunt. Multiple logistic regression analysis showed the type and diameter of VSD were associated with the failure of device closure. There were no severe adverse events. Follow-up ranged from 13 to 31 months (mean, 22.3 ± 5.2 months). Early and late complications occurred in 10 patients (19.2%) and two patients (3.8%), respectively.

Conclusions

Excellent short-term results can be achieved in selected patients with percardiac device closure of subaortic ventricular septal defects. doi: 10.1111/jocs.12134 (J Card Surg 2013;28:456–460)

Related Topics

    loading  Loading Related Articles