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

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Presentation on theme: "Transthoracic Device Closure of Juxtaarterial Ventricular Septal Defects: Midterm Follow-Up Results  Xueying Song, MD, Quansheng Xing, MD, Qin Wu, MD,"— Presentation transcript:

1 Transthoracic Device Closure of Juxtaarterial Ventricular Septal Defects: Midterm Follow-Up Results 
Xueying Song, MD, Quansheng Xing, MD, Qin Wu, MD, Yueyi Ren, MD, Hao Wan, MD, Jun Li, MB  The Annals of Thoracic Surgery  Volume 104, Issue 3, Pages (September 2017) DOI: /j.athoracsur Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 (A) An 18-gauge trocar; (B) inch guide ire; (C) delivery sheath; and (D) occluder fixed on a delivery cable and in the loaded sheath. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 The free wall of the right ventricle was exposed through a 3-cm lower partial median sternotomy. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 A inch guidewire crossed ventricular septal defect from the long-axis shown as (A) a two-dimensional ultrasound image and as (B) a color Doppler ultrasound image. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 The left ventricle disk was deployed and pulled on the septum from the long-axis shown as (A) a two-dimensional ultrasound image and as (B) a color Doppler ultrasound image. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 The waist and the right ventricle disk were deployed without residual shunt from the long-axis shown as (A) a two-dimensional ultrasound image and as (B) a color Doppler ultrasound image. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

7 Fig 6 The degree of aortic valvar insufficiency preoperatively (Preop), immediately postoperatively (Postop), and on late follow-up (blue bars = zero; red bars = trivial; yellow bars = mild). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

8 Fig 7 Degree of pulmonary valve insufficiency preoperatively (Preop), immediately postoperative (Postop), and on late follow-up (blue bars = zero; red bars = trivial). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

9 Fig 8 (A, B) A follow-up chest ultrasound image shows that although the eccentric occluder was near to the aortic valve, aortic valve closure is good. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

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