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The experience of transcatheter closure of postoperative ventricular septal defect after total correction

Journal of Cardiothoracic Surgery Jun 17, 2019

Kouakou NYN, et al. - Researchers report the outcomes of transcatheter closure of a ventricular septal defect (VSD) after total correction of congenital heart disease in 6 patients with a median age of 17.7 years. Tetralogy of Fallot (one patient), VSD (two patients), double outlet of the right ventricle (two patients), and aortic valve stenosis (one patient) were the initial diagnoses. The Amplatzer duct occluder I, Amplatzer duct occluder II, Amplatzer vascular plug II, and Cocoon membranous VSD occluder were the various devices used, though only one device was used in each patient. No major complications related to the closure procedures were reported. The immediate outcomes were satisfactory. Patients were observed over a median duration of 2.75 years. Success was achieved in all cases, with the exception of minimal leak in one patient. Overall, findings revealed safety as well as efficacy of transcatheter device closure of post-operative VSD, which can be performed using several device types of devices. However, more experiences are necessary.
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