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Closure of an iatrogenic ventricular septal defect using a hybrid approach and echocardiographic guidance


1 Department of Anesthesiology and Perioperative Medicine, University of Louisville, Louisville, KY, USA
2 Department of Anesthesiology, Jewish Hospital, Louisville, KY, USA
3 Department of Anesthesiology and Perioperative Medicine, University of Louisville; Department of Anesthesiology, Jewish Hospital, Louisville, KY, USA

Correspondence Address:
Jiapeng Huang
200, Abraham Flexner Way, Louisville, KY 40202
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_150_18

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Year : 2020  |  Volume : 23  |  Issue : 2  |  Page : 212-215

 

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Treatment of postsurgical iatrogenic ventricular septal defects (VSDs) remains a challenge. Surgical closure is associated with significant morbidity and mortality. A peripheral accessed percutaneous approach is faced with difficulties of gaining adequate access and complex positioning in a beating heart. We report a case of using a hybrid approach to treat iatrogenic VSD with surgical right atriotomy and delivery of an Amplatzer system under direct visualization and transesophageal echocardiography guidance.






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1 Department of Anesthesiology and Perioperative Medicine, University of Louisville, Louisville, KY, USA
2 Department of Anesthesiology, Jewish Hospital, Louisville, KY, USA
3 Department of Anesthesiology and Perioperative Medicine, University of Louisville; Department of Anesthesiology, Jewish Hospital, Louisville, KY, USA

Correspondence Address:
Jiapeng Huang
200, Abraham Flexner Way, Louisville, KY 40202
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_150_18

Rights and Permissions

Treatment of postsurgical iatrogenic ventricular septal defects (VSDs) remains a challenge. Surgical closure is associated with significant morbidity and mortality. A peripheral accessed percutaneous approach is faced with difficulties of gaining adequate access and complex positioning in a beating heart. We report a case of using a hybrid approach to treat iatrogenic VSD with surgical right atriotomy and delivery of an Amplatzer system under direct visualization and transesophageal echocardiography guidance.






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