Perventricular device closure of perimembranous ventricular septal defects in 61 young children: Early and midterm follow-up results Kaiyu Tao, MD, Ke.

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Perventricular device closure of perimembranous ventricular septal defects in 61 young children: Early and midterm follow-up results Kaiyu Tao, MD, Ke Lin, MD, Yingkang Shi, MD, Haibo Song, MD, Raphael C. Lui, MD, FACS, Changping Gan, MD, Qi An, MD The Journal of Thoracic and Cardiovascular Surgery Volume 140, Issue 4, Pages 864-870 (October 2010) DOI: 10.1016/j.jtcvs.2010.05.013 Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Ventricular septal defect occluders and delivery systems. A, A loader sheath. B, A delivery sheath. C, An inner layer sheath. D, An eccentric device with no flange of the left ventricular disc facing the aortic valve; the opposite flange at the same disc is 5-mm long and has a metallic mark on its edge to indicate the orientation under transesophageal echocardiography. E, A concentric device with 2-mm flanges of 2 ventricular discs. The Journal of Thoracic and Cardiovascular Surgery 2010 140, 864-870DOI: (10.1016/j.jtcvs.2010.05.013) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Series of intraoperative photographs of device closure procedure and transesophageal echocardiographic images. A, The inferior partial sternotomy was 4 cm in length. B, The guide wire was introduced via the puncture site on the right ventricular free wall. C, The device was deployed. D, A pericardial drainage tube was placed, and the incision was sutured. E, Preclosure transesophageal echocardiogram showing the delivery sheath (arrow) passing through the ventricular septal defect. F, Postclosure transesophageal echocardiographic image. The ventricular septal defect was closed with a device (arrow). RA, Right atrium; RV, right ventricle. The Journal of Thoracic and Cardiovascular Surgery 2010 140, 864-870DOI: (10.1016/j.jtcvs.2010.05.013) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions