%0 Journal Article
%T Miniinvasive hybrid closure of multiple muscular ventricular septal defects in a premature infant with novel use of Amplatzer Duct Occluder II ¨C a case report
%A Ireneusz Haponiuk
%A Maciej Chojnicki
%A Rados£¿aw Jaworski
%A Mariusz Steffek
%J Videosurgery and Other Miniinvasive Techniques
%D 2011
%I Termedia Publishing House
%X Muscular ventricular septal defects (mVSD) appearing together with other septal defects are frequently regarded as ¡°concomitant¡± pathologies, that nevertheless should be considered while the patient is referred for intervention. We followed a conception of mVSDs¡¯ miniinvasive treatment with a hybrid approach based on perventricular implantation of occluding devices. In this paper we report a hybrid procedure performed in a premature infant referred for surgical correction of a large perimembranous VSD with a simultaneous perventricular approach for concomitant muscular ventricular septal defect. The device of choice, because of the patient¡¯s small size and weight, was the Amplatzer Duct Occluder II. Colour Doppler showed complete closure of all VSDs 8 months after surgery with no complications related to the procedure.
%K ventricular septal defect
%K device closure
%K hybrid procedures
%K prematurity
%K congenital heart defects
%K miniinvasive cardiac surgery
%U http://www.termedia.pl/Miniinvasive-hybrid-closure-of-multiple-muscular-ventricular-septal-defects-in-a-premature-infant-with-novel-use-of-Amplatzer-Duct-Occluder-II-a-case-report,42,16402,1,0.html