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Cardiology. 2014;127(3):196-202. doi: 10.1159/000356429. Epub 2014 Jan 17.

A minimally invasive technique for occluding large muscular ventricular septal defects in infants.

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1
Department of Thoracic and Cardiovascular Surgery, The Second Hospital of Centre South University, Changsha, PR China.

Abstract

OBJECTIVE:

This study investigated the feasibility, timing and indications for closure of large muscular ventricular septal defects (VSDs) in infants without use of a cardiopulmonary bypass.

METHODS:

A total of 9 infants with large muscular VSDs ranging in size from 7 to 15 mm were treated by minimally invasive closure without cardiopulmonary bypass between April 2010 and February 2013.

RESULTS:

All surgeries were successful without resulting in uncontrolled systemic infection, a pulmonary hypertensive crisis or a severely low cardiac output, and with an apparently shorter operation time and postoperative tracheal cannula.

CONCLUSIONS:

VSD closure without cardiopulmonary bypass can improve the efficacy and prognosis of infants with large muscular VSDs and concurrent pulmonary infections or respiratory failure.

PMID:
24457938
DOI:
10.1159/000356429
[Indexed for MEDLINE]
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