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Indian Heart J. 2018 Jul - Aug;70(4):578-579. doi: 10.1016/j.ihj.2018.01.017. Epub 2018 Jan 11.

Single patch closure of multiple VSDs through right atrial approach.

Author information

1
Departments of Cardiothoracic Surgery, G. Kuppuswamy Naidu Memorial Hospital, Coimbatore, India; Departments of Anaesthesiology, G. Kuppuswamy Naidu Memorial Hospital, Coimbatore, India. Electronic address: Nagarajan.Muthialu@gosh.nhs.uk.
2
Departments of Cardiothoracic Surgery, G. Kuppuswamy Naidu Memorial Hospital, Coimbatore, India; Departments of Anaesthesiology, G. Kuppuswamy Naidu Memorial Hospital, Coimbatore, India.

Abstract

Multiple ventricular septal defects (VSD) are traditionally considered as surgical challenges and often ventriculotomy is needed. We report our experience with single patch closure of multiple VSDs in 4 children with a median weight was 5.6kg. VSDs were closed via right atrium with a single Goretex patch with no operative death and short mean intensive care stay. To conclude, surgical approach to multiple VSDs is still a challenge, but a select approach to septate through right atrium adds to the surgical armamentarium to handle this difficult problem.

KEYWORDS:

Multiple VSD; Patch closure; VSD closure

PMID:
30170657
PMCID:
PMC6117800
DOI:
10.1016/j.ihj.2018.01.017
[Indexed for MEDLINE]
Free PMC Article

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