Original articleCongenital heart surgeryIntraoperative Device Closure of a Perimembranous Ventricular Septal Defect Using the Right Thoracic Ventricle Approach
Section snippets
Material and Methods
This study was approved by the Ethics Committee of our university and strictly adhered to the tenets of the Declaration of Helsinki. All patients’ guardians signed informed consent forms before the operation.
Results
Intraoperative device closure through the right thoracic minimal incision to right ventricle approach was successful in 44 patients. For the remaining 2 patients, the procedure was converted to open surgery because a delivery system could not be established in the one patient and a significant residual shunt was noted in the other patient. Transthoracic echocardiography/transesophageal echocardiography showed that the median ventricular defect diameter was 5.1 mm (interquartile range, 1.23 mm).
Comment
Recently, intraoperative device closure of VSDs has been widely used in clinical practice and has achieved satisfactory short-term and midterm clinical efficacy rates 6, 7, 8, 9, 10, 11, 12. The minimal incision in the lower sternum method is the earliest used, best developed, and most widely used approach. It is advantageous for its simple operation, broad indications, ease of choice regarding the most appropriate puncture point of the right ventricular surface, ease of avoiding injury to the
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Cited by (4)
Asymmetric Occluder Occlusion of Outlet Ventricular Septal Defect Via a Subaxillary Approach
2021, Annals of Thoracic SurgeryCitation Excerpt :With accumulating experience treating simple congenital heart disease, such as using a right subaxillary oblique incision for routine treatment of VSDs and atrial septal defects, our center has attempted to occlude VSDs through a lateral incision in the right subaxillary region. This approach creates a more subtle and aesthetically pleasing incision compared with an anterior chest incision, prevents postoperative chicken breast deformity, causes less bleeding, and shortens the operation time.4,18 The average operation time in the current group was 70.8 ± 21.0 minutes, which was notably shorter than that with conventional cardiopulmonary bypass.
Incision Choice for Transthoracic Device Closure of Ventricular Septal Defect: Reply
2021, Annals of Thoracic SurgeryThe Right Thoracic Incision: The Importance of Children's Thoracic Deformity and Thymus Dysplasia
2021, Annals of Thoracic SurgeryComparison of perventricular and percutaneous ultrasound-guided device closure of perimembranous ventricular septal defects
2023, Frontiers in Cardiovascular Medicine
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Drs Qiang Chen and Qiu contributed equally to this work and are co-first authors.