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Percutaneous closure of ventricular septal defect by Amplatzer occluder : Immediate and mid-term follow up results. ISSN Background: Percutaneous perimembranous VSD occlusion is still considered an experimental method where a variety of devices have been tested. Method: We included 6 patients 1 man and 5 women with a mean age of 9.

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Percutaneous closure of ventricular septal defect by Amplatzer occluder : Immediate and mid-term follow up results. ISSN Background: Percutaneous perimembranous VSD occlusion is still considered an experimental method where a variety of devices have been tested. Method: We included 6 patients 1 man and 5 women with a mean age of 9.

Results: In one of the patients, positioning of the device was not possible intention to treat success rate, In the remaining five patients, there was a single defect. Mean pulmonary pressure was A single device was use in all cases. Immediate angiographic control showed complete occlusion in two patients, trivial shunt in one, and mild shunt in two. Follow-up was at least 4 months. Only one patient has residual trivial shunt, the rest of the defects are completely closed.

In se lected cases, this is a good alternative to surgery in the treatmen of this cardiac defect. Palabras llave : Ventricular septal defect; Amplatzer device; Congenital heart disease. Servicios Personalizados Revista. Similares en SciELO.

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Comunicació interventricular

A ventricular septal defect VSD is a defect in the ventricular septum , the wall dividing the left and right ventricles of the heart. The extent of the opening may vary from pin size to complete absence of the ventricular septum, creating one common ventricle. The ventricular septum consists of an inferior muscular and superior membranous portion and is extensively innervated with conducting cardiomyocytes. The membranous portion, which is close to the atrioventricular node , is most commonly affected in adults and older children in the United States. Membranous ventricular septal defects are more common than muscular ventricular septal defects, and are the most common congenital cardiac anomaly. Ventricular septal defect is usually symptomless at birth. It usually manifests a few weeks after birth.

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Ventricular septal defect

Surgical treatment of multiple ventricular septal defects VSDs is complex, particularly with anterior and apical locations. Normally, several interventions are required, increasing the risk of adverse effects and death unrelated to the residual shunts. There is also a greater need for ventriculotomies and extensive sectioning to facilitate access. Percutaneous approach is also difficult, particularly in small children who have limited vascular access and may poorly tolerate the use of large devices. Percutaneous device placement under direct vision with extracorporeal circulation ECC and cardioplegia have not produced outstanding results. The technique was updated by Bacha et al 3 with excellent results in the first consecutive series of patients studied.

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Comunicación interventricular

El objetivo de este trabajo es llevar esa idea al pediatra general. Ventricular septal defect is the most frequently diagnosed congenital heart defect. The prognosis is usually good. The aim of this study was to describe this idea to general pediatricians.

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Comunicació interventricular

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