OBJECTIVE: Both surgical management and percutaneous device closure of muscular @entity1757 have drawbacks and limitations. This report describes our initial experience with intraoperative device closure of muscular @entity1757 without @entity1167 in 6 consecutive @entity1 . METHODS: A median sternotomy or a subxiphoid minimally invasive incision was performed. Under continuous transesophageal echocardiographic guidance, the right ventricle free wall was punctured, and a wire was introduced across the largest defect. The Amplatzer (AGA Medical Corporation, Golden Valley, Minn) muscular @entity1757 occluding device (a self-expandable double-disk device) was used. An introducer sheath was fed over the wire, with the sheath tip positioned in the left ventricle cavity. The device was then advanced inside the sheath and deployed by retracting the sheath. Associated @entity299 , if any, can then be repaired during @entity1167 . A similar technique can also be applied for periatrial closure of complex @entity118 . RESULTS: The initial 6 @entity1 are presented. Cardiopulmonary bypass was not needed in any @entity1 for placement of the device and needed in 4 @entity1 for repair of concomitant @entity600 only (double-outlet right ventricle, @entity8521 , pulmonary artery band removal). No complications from using this technique occurred. Discharge echocardiograms showed no significant shunting across the ventricular septum. CONCLUSIONS: Perventricular closure of multiple muscular @entity1757 is safe and effective. We believe that this could become the treatment of choice for any @entity1 with muscular @entity1757 or any @entity1 with muscular @entity1757 and associated @entity299 .

Perventricular device closure of muscular XXXX on the beating heart: technique and results.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'child', 'infant'] @entity8521 :: ('MESH:D001015', 'Disease') :: ['aortic arch hypoplasia'] @entity1757 :: ('MESH:D006345', 'Disease') :: ['ventricular septal defects', 'ventricular septal defect'] @entity600 :: ('MESH:D000014', 'Disease') :: ['malformations'] @entity299 :: ('MESH:D006331', 'Disease') :: ['cardiac defects', 'cardiac lesions'] @entity118 :: ('MESH:D006344', 'Disease') :: ['atrial septal defects'] @entity1167 :: ('MESH:D006323', 'Disease') :: ['cardiopulmonary bypass']
@entity1757 :: (MESH:D006345,Disease) :: ['ventricular septal defects']
