Transcatheter device closure of congenital ventricular septal defects

Daniel H. Gruenstein, John L. Bass

Research output: Contribution to journalArticlepeer-review

Abstract

Ventricular septal defects (VSD) are among the most commonly occurring congenital heart lesions. While successful surgical repair of VSDs has been possible for over 60. years, peri-operative and late complications still occur and there are inherent risks associated with sternotomy and exposure to cardiopulmonary bypass. A desire to avoid these risks, as well as the successful application of catheter-based device closure for other intracardiac and vascular shunting lesions, has lead to an interest in developing a less invasive means by which to close VSDs. The aim of this article is (a) to understand the important differences in approach to catheter-based closure of congenitally occurring VSDs, based on their location, (b) to discuss the technical aspects of device closure of VSDs, from both a percutaneous and perventricular (hybrid) approach, and (c) to review the outcomes of the experience with these devices. Acquired (post-infarction, post-trauma) VSDs will not be addressed.

Original languageEnglish (US)
Pages (from-to)131-141
Number of pages11
JournalProgress in Pediatric cardiology
Volume33
Issue number2
DOIs
StatePublished - May 1 2012

Keywords

  • Cardiac catheteriztion
  • Device
  • Hybrid
  • Percutaneous
  • Perventricular
  • Ventricular septal defect

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