Perventricular Device Closure of Doubly Committed Subarterial Ventral Septal Defect Through Left Anterior Minithoracotomy on Beating Hearts Silin Pan,

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Perventricular Device Closure of Doubly Committed Subarterial Ventral Septal Defect Through Left Anterior Minithoracotomy on Beating Hearts Silin Pan, MD, Quansheng Xing, MD, Qian Cao, MD, Pingshan Wang, MD, Shuhua Duan, MS, Qin Wu, MD, Kefeng Hou, MS The Annals of Thoracic Surgery Volume 94, Issue 6, Pages 2070-2075 (December 2012) DOI: 10.1016/j.athoracsur.2012.05.070 Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Delivery set. Left to right: delivery sheath, dilator, loading sheath, delivery cable, guidewire. The Annals of Thoracic Surgery 2012 94, 2070-2075DOI: (10.1016/j.athoracsur.2012.05.070) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Saddle-like occluder complying with the anatomic structure of doubly committed subarterial ventricular septal defect. The Annals of Thoracic Surgery 2012 94, 2070-2075DOI: (10.1016/j.athoracsur.2012.05.070) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 3-cm transverse incision. The Annals of Thoracic Surgery 2012 94, 2070-2075DOI: (10.1016/j.athoracsur.2012.05.070) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 0.035-inch guidewire crossed ventricular septal defect shown as (A) a two dimensional image and (B) a color-dopplered image. The Annals of Thoracic Surgery 2012 94, 2070-2075DOI: (10.1016/j.athoracsur.2012.05.070) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Delivery sheath introduced along the wire through the ventricular septal defect into the left ventricular cavity shown as (A) a two dimensional image and (B) a color-dopplered image. The Annals of Thoracic Surgery 2012 94, 2070-2075DOI: (10.1016/j.athoracsur.2012.05.070) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 6 Doubly committed subarterial ventricular septal defect from (A) long-axis and (B) short-axis view with aortic prolapse. The Annals of Thoracic Surgery 2012 94, 2070-2075DOI: (10.1016/j.athoracsur.2012.05.070) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 7 Released occluder with good position shown as (A) a two dimensional image and (B) a color-dopplered image. The Annals of Thoracic Surgery 2012 94, 2070-2075DOI: (10.1016/j.athoracsur.2012.05.070) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions