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Related Experiment Video

Updated: Feb 5, 2026

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
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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.

Indian Heart Journal
|September 2, 2018
PubMed
Summary

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.

Keywords:
Multiple VSDPatch closureVSD closure

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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.