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A case of hybrid closure of a muscular ventricular septal defect: anatomical complexity and surgical management

Published online by Cambridge University Press:  03 November 2011

Mohsen Karimi ,
Elise Hulsebus ,
Kenneth Murdison  and
Henry Wiles
Mohsen Karimi*
Affiliation:
Department of Surgery, Division of Pediatric Cardiothoracic Surgery, Medical College of Georgia, Children's Medical Center, Augusta, Georgia, United States of America
Elise Hulsebus
Affiliation:
Department of Surgery, Division of Pediatric Cardiothoracic Surgery, Medical College of Georgia, Children's Medical Center, Augusta, Georgia, United States of America
Kenneth Murdison
Affiliation:
Department of Pediatrics, Section of Pediatric Cardiology, Medical College of Georgia, Children's Medical Center, Augusta, Georgia, United States of America
Henry Wiles
Affiliation:
Department of Pediatrics, Section of Pediatric Cardiology, Medical College of Georgia, Children's Medical Center, Augusta, Georgia, United States of America
*
Correspondence to: Dr M. Karimi, MD, Associate Professor of Surgery and Pediatrics, Pediatric Cardiothoracic Surgery, Medical College of Georgia/Children's Medical Center, 1446 Harper Street, BP-3107, Augusta, Georgia 30912-4050, United States of America. Tel: +1 706 721 5527; Fax: +1 706 721 7113; E-mail: mkarimi@georgiahealth.edu
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Abstract

Complex muscular ventricular septal defect poses difficult surgical management and is associated with high morbidity and mortality despite advancements in surgical therapy. Device closure of muscular ventricular septal defect has been encouraging and has been used in hybrid approach at a few centres. However, device closure has some limitations in patients with complex muscular ventricular septal defect. We report a case of perventricular device closure of a complex muscular ventricular septal defect in a beating heart with entrapped right ventricular disc and its surgical management.

Keywords

Muscular ventricular septal defectdevice closurehybrid procedure
Type
Brief Report
Information
Cardiology in the Young , Volume 22 , Issue 3 , June 2012 , pp. 356 - 359
Copyright
Copyright © Cambridge University Press 2012

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