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Catheter Cardiovasc Interv. 2019 Apr 14. doi: 10.1002/ccd.28227. [Epub ahead of print]

Hybrid approach to ventricular septal defect enlargement.

Author information

1
Division of Cardiology, Department of Pediatrics, Children's Hospital Los Angeles, Los Angeles, California.
2
Division of Cardiology, Department of Pediatrics, Texas Children's Hospital, Houston, Texas.
3
Division of Cardiology, Department of Pediatrics, UC Davis Children's Hospital, Sacramento, California.

Abstract

The need for creation or enlargement of a ventricular septal defect (VSD) is a rare occurrence. It is most frequently required in patients with double-outlet right ventricle who develop restriction of a remote muscular VSD or obstruction of a perimembranous VSD secondary to atrioventricular (AV) valve attachments to the interventricular septum. Surgical and transcatheter options for VSD creation or enlargement are associated with several risks including heart block, AV valve injury, and perforation. We report the first description of a hybrid approach to VSD creation and enlargement in two patients.

KEYWORDS:

bare metal; congenital heart disease; pediatrics; stent; surgery

PMID:
30983081
DOI:
10.1002/ccd.28227

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