Transcatheter creation and enlargement of ventricular septal defects for relief of ventricular hypertension

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Transcatheter closure of perimembranous ventricular septal defects.

The isolated perimembranous ventricular septal defect is one of the most common congenital cardiac malformations. Although surgery has been performed and has a low associated risk, it still involves morbidity due to factors such as residual leaks, atrioventricular block, postpericardiotomy syndrome and arrhythmias. It has been speculated that percutaneous closure of these defects could minimize...

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Transcatheter closure of ventricular septal defects.

Between January and October, 1987, we attempted percutaneous transcatheter closure of seven ventricular septal defects (VSD) in six patients; none of the patients was a candidate for operative management. Patients' ages ranged from 8 months to 82 years (6.0-70 kg); diagnoses included postinfarction VSD (n = 4), congenital VSD (n = 1), and postoperative congenital VSD (n = 2). Indications for VS...

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[Transcatheter closure of postinfarction ventricular septal defects using Amplatzer devices].

We carried out transcatheter procedures to close postinfarction ventricular septal defects (PIVSDs) in 19 patients: two had recanalization after surgical closure, and 17 had a primary PIVSD. In three of the latter patients, who had acute PIVSDs, the procedure was carried out in the first 3 weeks after infarction; in the 13 patients with subacute PIVSD, it was carried out 3.5-12 weeks after infa...

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Immediate primary transcatheter closure of postinfarction ventricular septal defects.

AIMS Immediate surgical repair of ventricular septal defect (VSD) complicating acute myocardial infarction is associated with high mortality. Percutaneous device closure appears to be safe and effective in patients treated for a residual shunt after initial surgical closure, as well as in patients with a chronic post-infarct VSD. Primary transcatheter VSD closure in the acute setting may also o...

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Ventricular Septal Defects

An analysis was made of the 23 cases of isolated ventricular septal defects seen at autopsy over a 20year period at a children's hospital. All of the deaths occurred during the first 15 months of life. In addition to the clinical and morphologic findings, cardiac catheterization data obtained on 6 of the infants are presented. A wide range of electrocardiographic variation with respect to ventr...

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ژورنال

عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery

سال: 2007

ISSN: 0022-5223

DOI: 10.1016/j.jtcvs.2006.09.037