Repair of isolated multiple muscular ventricular septal defects: the septal obliteration technique

Black, Michael D.; Shukla, Vinayak; Rao, Vivek; Smallhorn, Jeffrey; Freedom, Robert M.

doi:10.1016/s0003-4975(00)01372-2

Cited by 38 publications

(62 citation statements)

References 12 publications

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“…All eight children improved well and none had a residual shunt. [10] Our case mimicked the surgical SOT. The follow-up CT scan demonstrated the septoapical obliteration; however this interventional right ventricular apical obliteration needs a long-term follow-up.…”

Section: Discussionmentioning

confidence: 62%

“…Surgical closure of the apical mVSD was technically demanding and sometimes needed either ventriculotomy or apical obliteration methods. [123] Black et al ., reported their experience of septal obliteration technique (SOT) in closing the apical mVSDs with encouraging results. All eight children improved well and none had a residual shunt.…”

Section: Discussionmentioning

confidence: 99%

“…[123] Transcatheter closure of mVSD is a well-established procedure, but technically demanding, due to larger sheaths and a need for the formation of arteriovenous loop. [456] Perventricular device closure has become an alternative option with minimal complications in infants with mVSD.…”

Section: Introductionmentioning

confidence: 99%

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Epicardial deployment of right ventricular disk during perventricular device closure in a child with apical muscular ventricular septal defect

Koneti

Verma²,

Bakhru³

et al. 2013

Ann Pediatr Card

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We report a successful perventricular closure of an apical muscular ventricular septal defect (mVSD) by a modified technique. An eight-month-old infant, weighing 6.5 kilograms, presented with refractory heart failure. The transthoracic echocardiogram showed multiple apical mVSDs with the largest one measuring 10 mm. perventricular device closure using a 12 mm Amplatzer mVSD occluder was planned. The left ventricular disk was positioned approximating the interventricular septum; however, the right ventricular (RV) disk was deployed on the free wall of the RV due to an absent apical muscular septum and a small cavity at the apex. The RV disk of the device was covered using an autologous pericardium. His heart failure improved during follow-up.

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Section: Discussionmentioning

confidence: 62%

Section: Discussionmentioning

confidence: 99%

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Epicardial deployment of right ventricular disk during perventricular device closure in a child with apical muscular ventricular septal defect

Koneti

Verma²,

Bakhru³

et al. 2013

Ann Pediatr Card

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show abstract

“…Probing the septum with instruments, especially in neonates' and infants' hearts, can be misleading and create communications when the ventricular septal defects do not exist. Mace and colleagues [9] as well as Black and coworkers [10] obliterate the ventricular septal defect by extensive patching of the RV side of the septum with a single or several patches. Operative and follow-up mortalities were zero in both series, and no reinterventions for residual shunts were required.…”

Section: Discussionmentioning

confidence: 99%

Our Experience in 33 Patients of Multiple Ventricular Septal Defect Closure

Thangavel¹,

Kamalakkannan²,

Karthekeyan³

et al. 2015

WJCS

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Study: Retrospective study of 33 patients with multiple VSD during March 2009 to March 2014. Technique: The defects were located by injecting the cardioplegia solution into left atrium after occluding the pulmonary artery. Through right atrial approach, the large ventricular septal defects were closed by pericardial patch. The smaller ventricular septal defects were closed directly. Results: Out of 33 patients, 20 patients were multiple ventricular septal defects, 5 patients were atrioventricular canal defect with multiple ventricular septal defects and 8 patients were transposition of great arteries with multiple ventricular septal defects. All the patients had severe pulmonary arterial hypertension. The mean age and body weight at repair was 4.51 months and 5.41 kg respectively. Failure to locate additional ventricular septal defects happened in 1 patient where the pulmonary artery banding was done. Six patients had residual ventricular septal defect after surgery, and no significant left to right shunted. One patient had permanent pacemaker implanted in the postoperative period due to the heart block. There was no early and late mortality. Conclusion: Management of multiple ventricular septal defects is quite complex. Right atrial approach of ventricular septal defects closure is safe, simple and effective in closure of multiple ventricular septal defects.

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“…This technique creates a "noncommunicating" left-to-right ventricular shunt at the "blind-ending" neoapical chamber that is separated from the remainder of the right ventricle by the patch of the "septal obliteration technique." 22 Finally, the team from Toronto has described a technique named "transatrial re-endocardialization" to close multiple muscular ventricular septal defects. Exposure is through a right atriotomy, although anterior defect exposure was sometimes facilitated by a transverse pulmonary arteriotomy.…”

Section: Figure 12mentioning

confidence: 99%

Operative Techniques for Repair of Muscular Ventricular Septal Defects

Jacobs

2010

Operative Techniques in Thoracic and Cardiovascular Surgery

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Repair of isolated multiple muscular ventricular septal defects: the septal obliteration technique

Cited by 38 publications

References 12 publications

Epicardial deployment of right ventricular disk during perventricular device closure in a child with apical muscular ventricular septal defect

Epicardial deployment of right ventricular disk during perventricular device closure in a child with apical muscular ventricular septal defect

Our Experience in 33 Patients of Multiple Ventricular Septal Defect Closure

Operative Techniques for Repair of Muscular Ventricular Septal Defects

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