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

• Published in: Interactive cardiovascular and thoracic surgery Vol. 6; no. 6; pp. 780 - 782
• Main Authors: Garcia-Valentin, Antonio, Congiu, Stefano, Mayol, Javier, Prada, Fredy, Mortera, Carlos, Pomar, Jose-Luis, Caffarena, Jose M
• Format: Journal Article
• Language: English
• Published: England Eur Assoc Cardio Surg 01-12-2007
• Subjects: Cardiac Surgical Procedures - instrumentation; Cardiopulmonary Bypass; Device Removal; Echocardiography, Doppler; Equipment Design; Female; Foreign-Body Migration - diagnostic imaging; Foreign-Body Migration - etiology; Foreign-Body Migration - surgery; Heart Septal Defects, Ventricular - diagnostic imaging; Heart Septal Defects, Ventricular - surgery; Humans; Infant, Newborn; Treatment Outcome
• ISSN: 1569-9293; 1569-9285
• DOI: 10.1510/icvts.2007.163857

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.: [phone]; fax: [phone]. 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