Peratrial Device Closure of Perimembranous Ventricular Septal Defects Through a Right Parasternal Approach Li Hongxin, MD, Nan Zhang, MD, Guo Wenbin,

Slides:

Advertisements

Similar presentations

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

Advertisements

Chronic Heart Perforation With 13

Left Ventricular Bronchogenic Cyst

Minimally invasive transthoracic device closure of isolated ventricular septal defects without cardiopulmonary bypass: Long-term follow-up results Quansheng.

Quality of Life in Patients Undergoing Totally Thoracoscopic Closure for Atrial Septal Defect Zeng-Shan Ma, MD, PhD, Qiu-Yang Yin, RN, Ming-Feng Dong,

Modified Starnes Procedure in a Neonate With Severe Tricuspid Regurgitation Ashok Muralidaran, MD, Richard W. Kim, MD, Gary S. Kopf, MD, Nicholas P. Pietris,

Unidirectional Monovalve Homologous Aortic Patch for Repair of Ventricular Septal Defect With Pulmonary Hypertension Bo Zhang, MD, Shuming Wu, MD, Jiali.

Transeptal Aortic Valve Replacement After Arterial Switch in a Patient With Taussig-Bing Anomaly Kwon Joong Na, MD, Woong-Han Kim, MD, PhD, Woo Sung.

Novel Use of Transesophageal Echocardiographic Probe for Intraoperative Epicardial Imaging Adrian Ionescu, MD, FRCP, Michael Gilbert, MD, FRCA, Pankaj.

Lessons Learned From Lethal Cardiac Injury by Nuss Repair of Pectus Excavatum in a 16-Year-Old Klaus Schaarschmidt, MD, Michael Lempe, MD, Frank Schlesinger,

Hybrid Balloon Valvuloplasty for the Treatment of Severe Congenital Aortic Valve Stenosis in Infants Wen-Bin Ou-Yang, MD, Shou-Jun Li, MM, Yong-Quan.

Simultaneous Removal of Right Lung Hydatid Cyst and Repair of Atrial Septal Defect in a Single Session Guang Tong, MD, PhD, Xi Lin, MD, Tao Ma, MD, PhD,

Primary Mediastinal Undifferentiated Carcinoma Mimicking Type B Aortic Intramural Hematoma Qiang Zhu, MD, Wen-cheng Che, MD, Wei Wang, MD, Tian-chang.

Device Closure of Perimembranous Ventricular Septal Defects With a Minimally Invasive Technique in 12 Patients Xiang Jun Zeng, MD, PhD, Shan Quan Sun,

Organized thrombus of the tricuspid valve mimicking valvular tumor

Short-Term and Midterm Follow-Up of Transthoracic Device Closure of Atrial Septal Defect in Infants Qiang Chen, MD, Hua Cao, MD, Gui-Can Zhang, MD, Liang-wan.

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

Ani C. Anyanwu, MD, Gregory W

Acute Aortic Regurgitation Caused by Spontaneous Aortic Valve Rupture

Intraoperative device closure of secundum atrial septal defect with a right anterior minithoracotomy in 100 patients Li Hongxin, MD, Guo Wenbin, MD,

Totally Thoracoscopic Surgical Closure of Atrial Septal Defect in Small Children Feng Wang, MD, Min Li, MD, Xuezeng Xu, MD, Shiqiang Yu, MD, Zhaoyun Cheng,

Transcatheter Closure of Congenital Perimembranous Ventricular Septal Defect in Children Using Symmetric Occluders: An 8-Year Multiinstitutional Experience

Dennis M. Mello, MD, John Fahey, MD, Gary S. Kopf, MD

Ventricular thrombus and subarachnoid bleeding during support with ventricular assist devices Eva M Gruber, MD, Rainald Seitelberger, MD, Peter Mares,

Nikolay V. Vasilyev, MD, Joseph F. Martinez, DVM, Franz P

Gananjay G. Salve, MCh, Shreepal A. Jain, MD, Bhavesh M

Transthoracic Device Closure of Juxtaarterial Ventricular Septal Defects: Midterm Follow-Up Results Xueying Song, MD, Quansheng Xing, MD, Qin Wu, MD,

Maura Steed, BS, Vitor Guerra, MD, PhD, Michael R

Atrioventricular Septum Pseudoaneurysm As Late Complication After Repeated Mitral Valve Replacement Pilar Agudo-Quilez, MD, PhD, Eduardo Pozo, MD, PhD,

Christopher W. Baird, MD, Christian Kreutzer, MD, Stephen P

Surgical Repair of Aortoventricular Tunnel Connected to the Apex of the Right Ventricle in a Neonate Dmitry Bobylev, MD, Masamichi Ono, MD, PhD, Anneke.

Nihan Kayalar, MD, Hartzell V. Schaff, MD, Richard C

Ritu Sachdeva, MD, Richard T. Fiser, MD, William R

Emergency Management of Severe Right Ventricular Inflow Obstruction Secondary to a Metastatic Cardiac Tumor Erdinç Naseri, MD, Bulent Eralp, MD, Ibrahim.

Minimally Invasive Peratrial Device Closure of Perimembranous Ventricular Septal Defect Through a Right Infraaxillary Route: Clinical Experience and Preliminary.

Brian A. Bruckner, MD, Limael E

Intracardiac Migration of Operatively Placed Epicardial Pacing Leads

Tricuspid Leaflet Augmentation to Eliminate Residual Regurgitation in Severe Functional Tricuspid Regurgitation Jong Bum Choi, MD, Nan Yeol Kim, MD,

Freddy Vermeulen, MD, Ben Swinkels, MD, Wim Jan van Boven, MD

Double-Outlet Right Atrium: Anatomic and Clinical Considerations

Unusual Cause of Femorofemoral Cardiopulmonary Bypass Failure

Aortic Translocation for the Management of Double-Outlet Right Ventricle and Pulmonary Stenosis With Dextrocardia: Technique to Avoid Coronary Insufficiency

Balloon Valvuloplasty Through the Right Ventricle: Another Treatment of Pulmonary Atresia With Intact Ventricular Septum Qian-zhen Li, MD, Hua Cao, MD,

Percutaneous Perventricular Device Closure of Ventricular Septal Defect: From Incision to Pinhole Changping Gan, MD, Ling Peng, MD, Zhonglei Liang, MD,

Double-Root Translocation for Double-Outlet Right Ventricle With Noncommitted Ventricular Septal Defect or Double-Outlet Right Ventricle With Subpulmonary.

An Unusual Cause of Hemoptysis in a Young Woman

Ayesha S. Bryant, MSPH, William L. Holman, MD, Navin C

New Minimally Invasive Technique of Perpulmonary Device Closure of Patent Ductus Arteriosus Through a Parasternal Approach Li Hongxin, MD, Guo Wenbin,

George M. Alfieris, MD, James J. Gangemi, MD, Mathew P

Nikaidoh Procedure: How I Teach It

Two Pumps for Single Ventricle: Mechanical Support for Establishment of Biventricular Circulation Stanislav Ovroutski, MD, PhD, Oliver Miera, MD, Thomas.

A Novel Technique of Supra-Annular Mitral Valve Replacement

Norwood Stage 1 With Surgical Ventricular Reconstruction and Mitral Valve Repair for Neonatal Idiopathic Left Ventricular Dilated Cardiomyopathy Patrick.

Unruptured Sinus of Valsalva Aneurysm Obstructing the Left Ventricular Outflow Tract: An Uncommon Presentation in Childhood Lakshmi Murli, MD, Prashant.

A New Minimally Invasive Technique to Occlude Ventricular Septal Defect Using an Occluder Device Feng Li, MD, Ming Chen, MD, ZhaoKun Qiu, MD, Jing Lu,

Modified Cabrol Shunt to Treat Left Ventricular Rupture

Modified Edge-to-Edge Technique for Correction of Congenital Mitral Regurgitation in Infants and Children Gang Zhang, MD, Fusheng Zhang, MD, Mei Zhu,

Tricuspid and Aortic Valve and Ventricular Septal Defect Endocarditis: An Unusual Presentation of Acute Q Fever Sebastian Pagni, MD, Anthony Dempsey,

Aortic Translocation in the Management of Transposition of the Great Arteries With Ventricular Septal Defect and Pulmonary Stenosis: Results and Follow-Up

Hypoplastic Left Heart Syndrome With Anomalous Origin of the Right Coronary Artery Julie Cleuziou, MD, Felix Haas, MD, Christian Schreiber, MD, Hans-Jörg.

Perforation of a Tricuspid Pouch Caused by Infective Endocarditis

Long-Term Follow-Up of the Conal Flap Method for Tricuspid Malinsertion in Transposition of the Great Arteries With Ventricular Septal Defect and Pulmonary.

Marcelo G. Cardarelli, MD, James S. Gammie, MD, James M

Farirai F. Takawira, FCPaed(SA), Jayneel A. Joshi, FCPaed(SA), Dirk J

Cyrus J. Parsa, MD, Carmelo A. Milano, MD, Alan D. Proia, MD, PhD, G

Regression of Marked Myocardial Sinusoids Associated With Hypoplastic Left Heart Syndrome During Staged Fontan Approach Masamichi Ono, MD, Heidi Goerler,

Percutaneous Device Occlusion and Minimally Invasive Surgical Repair for Perimembranous Ventricular Septal Defect Zhao Yang Chen, MD, Bing Ru Lin, MD,

Johnathan Zhang, MD, Jason B

Two-Strip Technique to Repair Common Atrioventricular Valve Regurgitation in Single- Ventricle Palliation Kasra Shaikhrezai, MRCS, Karen McLeod, MD, Brodie.

Divided Left Atrium (Cor Triatriatum) in the Setting of Common Atrium

Presentation transcript:

Peratrial Device Closure of Perimembranous Ventricular Septal Defects Through a Right Parasternal Approach Li Hongxin, MD, Nan Zhang, MD, Guo Wenbin, MD, Wen-Long Zhang, MD, Zheng-Jun Wang, MD, Fei Liang, MD, Cheng-Wei Zou, MD The Annals of Thoracic Surgery Volume 98, Issue 2, Pages 668-674 (August 2014) DOI: 10.1016/j.athoracsur.2014.03.029 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) The probe-assisted delivery system and (B) a Z-shaped hollow probe. The Annals of Thoracic Surgery 2014 98, 668-674DOI: (10.1016/j.athoracsur.2014.03.029) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 A device stay suture of 4-0 or 5-0 polypropylene was passed through the wire mesh of the selected device under the microscrew and pulled out of the loading sheath (magnification of inset 2.5×). The Annals of Thoracic Surgery 2014 98, 668-674DOI: (10.1016/j.athoracsur.2014.03.029) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) A right parasternal incision and (B) a lower median sternotomy incision. The Annals of Thoracic Surgery 2014 98, 668-674DOI: (10.1016/j.athoracsur.2014.03.029) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 The Z-shaped hollow probe was inserted into the right atrium and advanced through the tricuspid valve into the right ventricle. The Annals of Thoracic Surgery 2014 98, 668-674DOI: (10.1016/j.athoracsur.2014.03.029) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 The steps of peratrial device closure of a perimembranous ventricular septal defect. (A) An echocardiographic four-chamber view and (B) an aortic long-axis view were used to monitor the process of implanting the device (arrow). (C) The tip of the hollow probe (arrow) was adjusted to point to or cross the defect. (D) A flexible guidewire (arrowhead) was inserted into the channel of the probe and advanced through the defect into the left ventricle to establish a delivery pathway. The probe was withdrawn from the heart while maintaining the guidewire in its original position. (E) The delivery sheath was introduced through the defect over the wire and positioned with its tip in the left ventricular cavity. (F) The device was deployed subsequently. (AO = aorta; LV = left ventricle; RA = right atrium; RV = right ventricle.) The Annals of Thoracic Surgery 2014 98, 668-674DOI: (10.1016/j.athoracsur.2014.03.029) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions