eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
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1/2011
vol. 6
 
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abstract:
Case report

Miniinvasive hybrid closure of multiple muscular ventricular septal defects in a premature infant with novel use of Amplatzer Duct Occluder II – a case report

Ireneusz Haponiuk
,
Maciej Chojnicki
,
Radosław Jaworski
,
Mariusz Steffek
,
Jacek Juściński
,
Mariusz Sroka
,
Lucyna Pałkowska

Videosurgery and other miniinvasive techniques 2011; 6 (1): 33-36
Online publish date: 2011/03/29
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Muscular ventricular septal defects (mVSD) appearing together with other septal defects are frequently regarded as “concomitant” pathologies, that nevertheless should be considered while the patient is referred for intervention. We followed a conception of mVSDs’ miniinvasive treatment with a hybrid approach based on perventricular implantation of occluding devices. In this paper we report a hybrid procedure performed in a premature infant referred for surgical correction of a large perimembranous VSD with a simultaneous perventricular approach for concomitant muscular ventricular septal defect. The device of choice, because of the patient’s small size and weight, was the Amplatzer Duct Occluder II. Colour Doppler showed complete closure of all VSDs 8 months after surgery with no complications related to the procedure
keywords:

ventricular septal defect, device closure, hybrid procedures, prematurity, congenital heart defects, miniinvasive cardiac surgery

  
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