Transcatheter closure of perimembranous ventricular septal defect with immediate follow-up.

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dc.contributor.authorDurongpisitkul, Kritvikromen_US
dc.contributor.authorSoongswang, Jarupimen_US
dc.contributor.authorLaohaprasitiporn, Duangmaneeen_US
dc.contributor.authorNana, Apicharten_US
dc.contributor.authorNutakul, Thitimaen_US
dc.date.accessioned2009-05-27T20:17:37Z
dc.date.available2009-05-27T20:17:37Z
dc.date.issued2003-10-03en_US
dc.descriptionChotmaihet Thangphaet.en_US
dc.description.abstractBACKGROUND: Surgical closure of membranous ventricular septal defect (VSD) is performed by open heart surgery with a small but significant morbidity and mortality. The authors reported here the first group of patients who underwent transcatheter closure of membranous VSD. METHOD: Patients who had membranous VSD with significant left to right shunt as shown by echocardiogram were selected for closure. A standard right and left heart catheterization was done under general anesthesia. A complete arteriovenous wire loop from the aorta to the left ventricle and VSD out into right ventricle was formed in order to guide the delivery sheath into the VSD from the right ventricle. The authors used the new Amplatzer Membranous VSD Occluder (AGA Medical Corp., USA) to deploy in the VSD position. RESULTS: There were 4 patients in the present study with age range of 2 to 24 years old (median: 4 years old). Their weight ranged from 10 to 45 kg (median: 12 kg). Qp:Qs ranged from 1.7-2.5 to 1. The device diameter selected was from 6 to 10 mm. All of them were placed without any residual shunt. At one month follow-up all the patients had echocardiographic examination which showed no evidence of residual shunt. CONCLUSIONS: The authors demonstrated that transcatheter closure of membranous VSD could be safely and effectively performed in small children. This device also provided an opportunity for closure of VSD in patients with pulmonary hypertension.en_US
dc.description.affiliationDivision of Pediatric Cardiology, Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.en_US
dc.identifier.citationDurongpisitkul K, Soongswang J, Laohaprasitiporn D, Nana A, Nutakul T. Transcatheter closure of perimembranous ventricular septal defect with immediate follow-up. Journal of the Medical Association of Thailand. 2003 Oct; 86(10): 911-7en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/42728
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshChilden_US
dc.subject.meshChild, Preschoolen_US
dc.subject.meshEquipment and Suppliesen_US
dc.subject.meshHeart Catheterization --instrumentationen_US
dc.subject.meshHeart Septal Defects, Ventricular --therapyen_US
dc.subject.meshHumansen_US
dc.subject.meshTreatment Outcomeen_US
dc.titleTranscatheter closure of perimembranous ventricular septal defect with immediate follow-up.en_US
dc.typeJournal Articleen_US
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