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

Christopher Parsons; Chen B Zhao; Jiapeng Huang

doi:10.4103/aca.ACA_150_18

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

Ann Card Anaesth. 2020 Apr-Jun;23(2):212-215. doi: 10.4103/aca.ACA_150_18.

Authors

Christopher Parsons¹, Chen B Zhao², Jiapeng Huang³

Affiliations

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.

Abstract

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.

Keywords: Postoperative complications; septal occluder device; ventricular septal defect.

Publication types

Case Reports

MeSH terms

Echocardiography, Transesophageal / methods*
Female
Heart Septal Defects, Ventricular / diagnostic imaging*
Heart Septal Defects, Ventricular / surgery*
Humans
Middle Aged
Septal Occluder Device*
Treatment Outcome
Ventricular Septum / diagnostic imaging
Ventricular Septum / surgery