지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.10
- 수록면
- 316 - 326 (11page)
- DOI
- https://doi.org/10.4250/jcvi.2020.0218
이용수
초록· 키워드
오류제보하기
BACKGROUND: Perimembranous ventricular septal defects (VSDs) has proximate relation to the aortic and tricuspid valves as well as the conduction tissues. Transcatheter closure utilizes various off-label device designs. METHODS: Perimembranous VSD without aortic margin were classified as group A, with thick aortic margin as group B, with membranous septal aneurysm as group C and defects restricted by tricuspid valve attachments as group D. The proposed ideal design was asymmetric device in group A; duct occluder I (ADOI) and muscular ventricular septal occluder (MVSO) in group B; thin profile duct occluder II (ADOII) in group C and ADOI in group D. Device was 0?2 mm larger than the defect. RESULTS: Eighty patients with VSD measuring 6.83 ± 2.87mm underwent successful closure. Device was retrieved before release in one group A and one group C patient due to aortic regurgitation. Asymmetric device was used in 16 group A defects. Among group B defects, ADOI was used in 5, ADOII in 5, MVSO in one and asymmetric device in 3. Group C defects were closed with ADOI in 7, ADOII in 10 and asymmetric device in 3. Three patients with multiple exits had 2 ADOII devices. Group D defects were closed using ADOI in 20 and ADOII in 10 patients. There was no late aortic regurgitation or heart block on a follow-up exceeding 7 years. CONCLUSIONS: This echocardiographic classification helps device selection in every single patient. While asymmetric device is uniquely suited for group A defects, different designs are appropriate in the other groups.
목차
등록된 정보가 없습니다.
참고문헌 (18)
참고문헌 신청
Penny DJ / 2011 / Ventricular septal defect / Lancet 377:1103~1112
Ho SY / 2004 / Morphology of perimembranous ventricular septal defects : implications for transcatheter device closure / J Interv Cardiol 17:99~108
Butera G / 2007 / Transcatheter closure of perimembranous ventricular septal defects : early and long-term results / J Am Coll Cardiol 50:1189~1195
Yang J / 2014 / Transcatheter versus surgical closure of perimembranous ventricular septal defects in children : a randomized controlled trial / J Am Coll Cardiol 63:1159~1168
Chen Q / 2019 / Comparison of transthoracic device closure and surgical repair with right submammary or right infra-axillary thoracotomy for perimembranous VSD / Thorac Cardiovasc Surg 67:8~13
Ho SY / 2004 / Morphology of perimembranous ventricular septal defects : implications for transcatheter device closure / J Interv Cardiol 17:99~108
Butera G / 2007 / Transcatheter closure of perimembranous ventricular septal defects : early and long-term results / J Am Coll Cardiol 50:1189~1195
Yang J / 2014 / Transcatheter versus surgical closure of perimembranous ventricular septal defects in children : a randomized controlled trial / J Am Coll Cardiol 63:1159~1168
Chen Q / 2019 / Comparison of transthoracic device closure and surgical repair with right submammary or right infra-axillary thoracotomy for perimembranous VSD / Thorac Cardiovasc Surg 67:8~13
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