Intraoperative apical ventricular septal defect closure using a modified Rashkind double umbrella. Issue 4 (October 1996)

• Record Type: Journal Article
• Authors: Chaturvedi, R. R.; Shore, D. F.; Yacoub, M.; Redington, A. N.
• Is Part Of: Heart. Volume 76:Issue 4(1996)Supplement 4
• Page Start: 367
• Page End: 369
• Publication Date: 1996-10
• Subjects: Heart -- Diseases -- Treatment -- Periodicals; Cardiology -- Periodicals; 616.12
• DOI: 10.1136/hrt.76.4.367
• Languages: English
• ISSNs: 1355-6037

Abstract

Abstract : OBJECTIVE: To demonstrate the safety and efficacy of intraoperative apical ventricular septal defect (VSD) closure using a modified Rashkind double umbrella. DESIGN: Descriptive study of all patients in whom intraoperative device closure of apical VSDs was attempted. SETTING: A tertiary referral centre. PATIENTS: Four patients with an apical VSD requiring closure, during the period January 1993 to May 1995. INTERVENTIONS: Intraoperative placement of a modified Rashkind umbrella. RESULTS: Four successful placements resulting in apical VSD closure, as judged by transoesophageal colour flow mapping. Three patients received a 17 mm and one a 12 mm umbrella. Early complete closure was achieved in three patients. There was a small residual leak around the 12 mm device that had resolved at 5 month follow up. There was one early death, which was unrelated to VSD closure. CONCLUSION: Apical ventricular septal defects can be closed safely and effectively with intraoperative use of a modified Rashkind umbrella.