Percutaneous-perventricular device closure of ventricular septal defect: mid-term follow-up

Abstract Background This report presents updated data and mid-term follow-up information to a former study introducing the novel technique of percutaneous-perventricular device closure of doubly committed subarterial ventricular septal defect. Methods Thirty-eight patients were added to the former s...

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Main Authors: Long Wang, Lin Xie, Weiqiang Ruan, Tao Li, Changping Gan, Ke Lin
Format: Article
Language:English
Published: BMC 2020-09-01
Series:BMC Surgery
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12893-020-00854-0
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author Long Wang
Lin Xie
Weiqiang Ruan
Tao Li
Changping Gan
Ke Lin
author_facet Long Wang
Lin Xie
Weiqiang Ruan
Tao Li
Changping Gan
Ke Lin
author_sort Long Wang
collection DOAJ
description Abstract Background This report presents updated data and mid-term follow-up information to a former study introducing the novel technique of percutaneous-perventricular device closure of doubly committed subarterial ventricular septal defect. Methods Thirty-eight patients were added to the former series. There were 54 patients in total who had isolated doubly committed subarterial ventricular septal defects and underwent percutaneous-perventricular device closure. Closure outcomes and possible complications were measured in the hospital and during the 2.5-year follow-up. Results Surgery was successful in 53 patients (98.1%). There was no death, residual shunt, new valve regurgitation or arrhythmia either perioperatively or during the entire follow-up period. Only one patient developed pericardial effusion and tamponade in the former series. The mean hospital stay was 3.2 ± 0.6 days (range, 3.0 to 6.0 days), and only one unsuccessful case needed blood transfusion (1.9%). Conclusions The percutaneous-perventricular device closure of isolated doubly committed subarterial ventricular septal defects appeared to be safe. Close monitoring for bleeding is essential postoperatively, especially in younger patients. This technique is generally safe with acceptable mid-term follow-up.
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spelling doaj.art-402c5cc7b7d4420bb39faffe93b604c92022-12-21T18:00:21ZengBMCBMC Surgery1471-24822020-09-012011510.1186/s12893-020-00854-0Percutaneous-perventricular device closure of ventricular septal defect: mid-term follow-upLong Wang0Lin Xie1Weiqiang Ruan2Tao Li3Changping Gan4Ke Lin5Department of Cardiovascular Surgery, West China Hospital, Sichuan UniversityDepartment of Cardiovascular Surgery, West China Hospital, Sichuan UniversityDepartment of Cardiovascular Surgery, West China Hospital, Sichuan UniversityDepartment of Cardiovascular Surgery, West China Hospital, Sichuan UniversityDepartment of Cardiovascular Surgery, West China Hospital, Sichuan UniversityDepartment of Cardiovascular Surgery, West China Hospital, Sichuan UniversityAbstract Background This report presents updated data and mid-term follow-up information to a former study introducing the novel technique of percutaneous-perventricular device closure of doubly committed subarterial ventricular septal defect. Methods Thirty-eight patients were added to the former series. There were 54 patients in total who had isolated doubly committed subarterial ventricular septal defects and underwent percutaneous-perventricular device closure. Closure outcomes and possible complications were measured in the hospital and during the 2.5-year follow-up. Results Surgery was successful in 53 patients (98.1%). There was no death, residual shunt, new valve regurgitation or arrhythmia either perioperatively or during the entire follow-up period. Only one patient developed pericardial effusion and tamponade in the former series. The mean hospital stay was 3.2 ± 0.6 days (range, 3.0 to 6.0 days), and only one unsuccessful case needed blood transfusion (1.9%). Conclusions The percutaneous-perventricular device closure of isolated doubly committed subarterial ventricular septal defects appeared to be safe. Close monitoring for bleeding is essential postoperatively, especially in younger patients. This technique is generally safe with acceptable mid-term follow-up.http://link.springer.com/article/10.1186/s12893-020-00854-0Ventricular septal defectMinimally invasive surgery
spellingShingle Long Wang
Lin Xie
Weiqiang Ruan
Tao Li
Changping Gan
Ke Lin
Percutaneous-perventricular device closure of ventricular septal defect: mid-term follow-up
BMC Surgery
Ventricular septal defect
Minimally invasive surgery
title Percutaneous-perventricular device closure of ventricular septal defect: mid-term follow-up
title_full Percutaneous-perventricular device closure of ventricular septal defect: mid-term follow-up
title_fullStr Percutaneous-perventricular device closure of ventricular septal defect: mid-term follow-up
title_full_unstemmed Percutaneous-perventricular device closure of ventricular septal defect: mid-term follow-up
title_short Percutaneous-perventricular device closure of ventricular septal defect: mid-term follow-up
title_sort percutaneous perventricular device closure of ventricular septal defect mid term follow up
topic Ventricular septal defect
Minimally invasive surgery
url http://link.springer.com/article/10.1186/s12893-020-00854-0
work_keys_str_mv AT longwang percutaneousperventriculardeviceclosureofventricularseptaldefectmidtermfollowup
AT linxie percutaneousperventriculardeviceclosureofventricularseptaldefectmidtermfollowup
AT weiqiangruan percutaneousperventriculardeviceclosureofventricularseptaldefectmidtermfollowup
AT taoli percutaneousperventriculardeviceclosureofventricularseptaldefectmidtermfollowup
AT changpinggan percutaneousperventriculardeviceclosureofventricularseptaldefectmidtermfollowup
AT kelin percutaneousperventriculardeviceclosureofventricularseptaldefectmidtermfollowup