Related Experiment Video
Updated: Feb 5, 2026

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
Single patch closure of multiple VSDs through right atrial approach
Nagarajan Muthialu1, Soundaravalli Balakrishnan1, Rajani Sundar1
1Departments of Cardiothoracic Surgery, G. Kuppuswamy Naidu Memorial Hospital, Coimbatore, India; Departments of Anaesthesiology, G. Kuppuswamy Naidu Memorial Hospital, Coimbatore, India.
Insights
Single patch closure effectively treated multiple ventricular septal defects (VSD) in children, avoiding ventriculotomy. This surgical approach through the right atrium offers a viable option for complex VSD cases.
Area of Science:
- Cardiovascular Surgery
- Pediatric Cardiology
- Congenital Heart Disease
Background:
- Multiple ventricular septal defects (VSD) present significant surgical challenges, often necessitating ventriculotomy.
- Traditional surgical approaches for multiple VSDs can be complex and carry substantial risks.
Discussion:
- This study presents a novel technique using a single Gore-Tex patch for the closure of multiple VSDs in pediatric patients.
- The transatrial approach facilitated the closure, avoiding the need for ventriculotomy and its associated complications.
Key Insights:
- Successful closure of multiple VSDs was achieved in 4 pediatric patients using a single patch via the right atrium.
- The procedure resulted in no operative deaths and a short intensive care unit stay, highlighting its safety and efficacy.
- This technique expands the surgical options for managing complex congenital heart defects.
Outlook:
- Further research should explore the long-term outcomes and broader applicability of this single-patch closure technique for multiple VSDs.
- This approach may offer a less invasive alternative for select pediatric patients with multiple VSDs.
- Continued refinement of surgical strategies for complex VSDs is crucial for improving patient outcomes.
Abstract:
Multiple ventricular septal defects (VSD) are traditionally considered as surgical challenges and often ventriculotomy is needed. We report our experience with single patch closure of multiple VSDs in 4 children with a median weight was 5.6kg. VSDs were closed via right atrium with a single Goretex patch with no operative death and short mean intensive care stay. To conclude, surgical approach to multiple VSDs is still a challenge, but a select approach to septate through right atrium adds to the surgical armamentarium to handle this difficult problem.
Related Concept Videos
Long-patch Base Excision Repair
Bioavailability Study Design: Single Versus Multiple Dose Studies
Angle Closure Glaucoma: Treatment
Multiple Allele Traits
Patch Clamp
In this method, a glass micropipette containing electrolyte solution is tightly sealed against a small portion of the cell membrane. As a result, a patch of the cell...
Multiple Regression
Farmers can use multiple regression to determine the crop yield based on more than one factor, such as water availability, fertilizer, soil properties, etc. Here, the crop yield is the response or dependent variable as it depends on the other independent variables. The analysis requires the construction of a scatter plot...

