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Hybrid approach to ventricular septal defect enlargement
Author(s) -
Patel Neil D.,
Justino Henri,
Ing Frank F.
Publication year - 2019
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.28227
Subject(s) - medicine , interventricular septum , ventricle , cardiology , atrioventricular septal defect , perforation , atrioventricular block , double outlet right ventricle , heart septal defect , heart septum , surgery , heart disease , punching , materials science , metallurgy
The need for creation or enlargement of a ventricular septal defect (VSD) is a rare occurrence. It is most frequently required in patients with double‐outlet right ventricle who develop restriction of a remote muscular VSD or obstruction of a perimembranous VSD secondary to atrioventricular (AV) valve attachments to the interventricular septum. Surgical and transcatheter options for VSD creation or enlargement are associated with several risks including heart block, AV valve injury, and perforation. We report the first description of a hybrid approach to VSD creation and enlargement in two patients.