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Updated: Aug 18, 2026
Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
Surgical closure of an apical ventricular septal defect through a septal ventriculotomy
Shin Takabayashi1, Shin Shomura, Masaki Kajimoto
1Department of Thoracic and Cardiovascular Surgery, Mie University School of Medicine, Mie, Japan.
Insights
This study presents a surgical technique for repairing apical muscular ventricular septal defects in a young boy. The double patch closure method proved effective, offering a potential new option for this rare congenital heart defect.
Area of Science:
- Pediatric Cardiology
- Congenital Heart Surgery
- Cardiac Anatomy
Background:
- Apical muscular ventricular septal defects (VSDs) are rare congenital heart anomalies.
- Early surgical intervention is often necessary for managing VSDs to prevent complications.
Observation:
- A 3-year, 7-month-old boy presented with an apical muscular VSD.
- Pulmonary artery banding was performed at 7 months of age.
Findings:
- The patient underwent successful double patch closure of the VSD via septal ventriculotomy.
- A main pulmonary artery plasty with end-to-end anastomosis was also performed.
- Postoperative assessment revealed no residual VSD leak or ventricular aneurysm, with a favorable clinical outcome.
Implications:
- This surgical approach offers a viable treatment option for apical muscular VSDs.
- The described technique demonstrates successful repair in a complex pediatric cardiac case.
- Further research can explore the long-term efficacy of this method in similar patient populations.
Abstract:
Here we report a 3-year and 7-month-old boy with a muscular ventricular septal defect at the apex. At age 7 months, pulmonary artery banding was performed. Surgical treatment consisted of double patch closure via septal ventriculotomy and a main pulmonary artery plasty by an end-to-end anastomosis with cardiopulmonary bypass. There was no residual leak of the ventricular septal defect or ventricular aneurysm and the postoperative course was good. This technique could be a useful surgical option for repair of apical muscular ventricular septal defects.
