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Intraoperative apical ventricular septal defect closure using a modified Rashkind double umbrella
R R Chaturvedi1, D F Shore, M Yacoub
1Department of Paediatrics, Royal Brompton Hospital, London.
Heart (British Cardiac Society)
|October 1, 1996
Summary
Intraoperative closure of apical ventricular septal defects (VSDs) using a modified Rashkind umbrella proved safe and effective. This technique successfully closed VSDs in four patients, with minimal residual leakage.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Cardiac Surgery
Background:
- Apical ventricular septal defects (VSDs) present unique challenges for surgical closure.
- Traditional surgical methods may involve significant morbidity.
- Minimally invasive techniques are sought to improve outcomes.
Purpose of the Study:
- To evaluate the safety and efficacy of intraoperative closure of apical VSDs.
- To assess the utility of a modified Rashkind double umbrella for this specific defect.
Main Methods:
- A descriptive study was conducted at a tertiary referral center.
- Four patients with apical VSDs underwent intraoperative device closure using a modified Rashkind umbrella.
- Transesophageal color flow mapping was used to assess closure success.
Main Results:
- Successful device placement and VSD closure were achieved in all four patients.
- Three patients had complete closure, and one had a small residual leak that resolved by 5 months.
- One early death occurred, unrelated to the VSD closure procedure.
Conclusions:
- Intraoperative closure of apical VSDs with a modified Rashkind umbrella is a safe and effective option.
- This technique offers a viable alternative for managing apical VSDs.
- Further studies may explore long-term outcomes and broader application.