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Interact CardioVasc Thorac Surg 2007;6:780-782. doi:10.1510/icvts.2007.163857
© 2007 European Association of Cardio-Thoracic Surgery

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Stefano Congiu
José M. Caffarena
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Right arrow Congenital - acyanotic

Negative results - Congenital

Device migration in hybrid technique for apical muscular ventricular septal defects closure

Antonio García-Valentína,c,*, Stefano Congiua, Javier Mayola, Fredy Pradab, Carlos Morterab, José-Luis Pomarc and José M. Caffarenaa

a Department of Paediatric Cardiovascular Surgery, University Hospital Sant Joan de Déu, Esplugues de Llobregat, Barcelona, Spain
b Department of Paediatric Cardiology, University Hospital Sant Joan de Déu, Esplugues de Llobregat, Barcelona, Spain
c Department of Cardiovascular Surgery, Hospital Clínic, University of Barcelona, Barcelona, Spain

*Corresponding author. Tel.: +34-932275515; fax: +34-932275749.

E-mail address: 37941agv{at}comb.es (A. García-Valentín).

Muscular ventricular septal defects still require complex surgical procedures for their repair. We have used a hybrid approach for closure of these ventricular septal defects in patients needing open-heart surgery. It consists of the deployment of a ventricular septal occluder, as used in transcatheter procedures inside the defect under direct vision after cardiopulmonary bypass establishment. Through this paper, we report a case to illustrate a new and simple technique to avoid one of the most dramatic complications after this procedure: the migration of the closure device.

Key Words: Congenital heart disease; Septal defects; Ultrasound; Surgery complications; Device







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