Surgical Management Of Muscular Trabecular Ventricular Septal Defects

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Congenital Heart Disease - Stony Brook Medicine

Ventricular Septal Defects VSDs arethe most common CHDlesion andare presentin 50% to 60% of all children with CHD. (1)(2)(3)(4) VSDs develop from defective formation of the interventricular septum and are classified on the basis of their location in the septum relative to the atrioventricular valves and the right and left ventricular outflow

Recent achievements in transcatheter closure of ventricular

ORIGINAL ARTICLE Transcatheter closure of ventricular septal defects 161 Defects in which the conal septum is rotated out of the remainder of the muscular ventricu‑ lar septum are called malalignment VSDs. Spo‑ radically, a specific type of VSD in the mem‑ branous part of the ventricular septum (above

RESEARCH ARTICLE Open Access Biventricular surgical repair of

Swiss cheese ventricular septal defects (VSDs) is a rare and most serious form of multiple VSDs, which was de-fined as 4 or more muscular VSDs by the Congenital Heart Surgery Nomenclature [1]. Patients with Swiss cheese VSDs always need surgical treatment in their very early stage after birth because of severe cardiac dys-function.

Normal Heart NOTES - Children's MN

Ventricular Septal Defect (VSD) A ventricular septal defect (VSD) is a hole between the lower two chambers of the heart (ventricles). VSDs are the most common type of congenital heart disease (20% of all cardiac defects). VSDs may also occur in conjunction with other heart defects.

i c a me Journal of Clinical & Experimental n l in tal f o l

Background: Ventricular septal defects (VSDs) are one of the most common congenital heart defects, although many close spontaneously by adulthood. The main aim of this investigation was a) to investigate by echo the best cut-off value of pulmonary artery systolic

Apical Muscular Ventricular Septal Defects: Surgical Strategy

Keywords: Three dimensional printedmodel, 3D model,muscular ventricular septal defect INTRODUCTION Muscular ventricular septal defects (VSDs) remain a surgical challenge. We evaluated the utility of a three-dimensional printed model (3D-model) for surgical decision planning in a complex case ofmultipleVSD (so-calledSwiss-cheese septum). Patient

Mitral value anomalies in tricuspid atresia: an autopsy study

ventricular septal defects of atria, typl septae l defect, evidenc of pulmonare y hypertensio and n left ventricular cavity size and thickness (Table 2). Definitions The following mitral valvar anomalies seen. were A clef wat consideres d to be presen t whe thne anterior leafle otf the valve was divided into two parts.

Ebstein s Anomaly - PCICS

Atrial septal defect (ASD)/Patent foramen ovale (PFO) o PFO does not close in the presence of high right atrial pressure o ASD present in approximately 30% of cases Tricuspid regurgitation (TR) of varying degrees Abnormal left ventricular muscular wall (non-compaction) seen in 18% Physiology

CT Evaluation of Congenital Heart Disease in Adults

Ventricular septal defect VSD is the most common congenital heart defect in the pediat­ ric population and is second to atrial septal de­ fect (ASD) in the adult population [10]. There are two main types of VSD, membranous and muscular. Membranous septal defects are sub­ aortic (Fig. 1). (Fig. S1C, the cine loop, can

1262 Letter to the Editor on Management of Congenital Heart

A ventricular septal defect (VSD) is a communication between the interventricular chambers. Muscular ventricular septal defects have exclusively muscular borders and are more likely to be multiple. Their location and multiplicity can sometimes make them a very challenging clinical problem. Types of VSDs

Congenital Heart Disease An Approach for Simple and Complex

Atrioventricular Septal Defects Primum ASD Complete AVSD 1. Primum ASD 2. Inlet VSD 3. Common AV Valve Partial AVSD 1. Primum ASD 2. No VSD 3. Cleft Mitral Valve Inlet VSD-3-5% of CHD-High incidence in Down Syndrome-Physiology depends on which anatomic defects are present

Coronary septal due - BMJ

catheterisation showed a large irregular ventricular septal defect with a double image on the left ventricular side suggesting a flap of tissue. The pulmonary:systolic blood flowratiowas3:1, pulmonaryarterypressure45/20mmHg, and aortic pressure 85/60 mmHg. Selective coronary angiographyshowedafistula fromaseptal branchoftheleft

Clinical outcome of small ventricular septal defect

to have isolated ventricular septal defects small enough not to require surgical closure were included in this study. Inclusion criteria for the study were single ventricular septal defect with a size less than 5 mm in diameter on a 2-D echo, normal or borderline left ventricular end diastolic diameter (20-44 mm), normal left ventricular fractional

Advances in Cardiovascular Imaging

defect, and the extent of the muscular infundibulum as an additional modifier of the distance between the ventricular septal defect margin and the arterial valve or valves. (Circ Cardiovasc Imaging. 2018;11:e006891. DOI: 10.1161/ CIRCIMAGING.117.006891.) Key Words:double outlet right ventricle endocardium heart septal defects, ventricular

Transcatheter closure as an alternative to surgical

Intramural ventricular septal defect; Surgical closure Abstract Objectives: The aim of this study was to determine whether transcatheter closure could be used as an alternative to surgical management in intramural ventricular septal defect, a rare com-plication after surgical repair of a conotruncal anomaly.

Surgical management of multiple ventricular septal defects

the left ventricular ejection fractions were within the normal ranges in the 27 patients who did not have congestive heart FIGURE 1. Location of the ventricular septal defects and closure techniques. FIGURE 2. Size of the muscular ventricular septal defects and closure techniques. TABLE 2. Techniques of VSD closure and postoperative septal function

Intraoperative Transesophageal Echocardiography for

Ventricular septal defect (VSD) can be classified by its location to four groups: type I, doubly-committed defects; type II, perimembranous defects; type III, atrioventricular defects; and type IV, muscular defects. Perimembranous and muscular defects can be further subdivided to inlet type, trabecular ty pe, and outlet type acco rding to the

Transcatheter closure of muscular ventricular septal defects

trabecular muscular defects.3 Currently, transcatheter muscular ventricular septal defects closure is a viable alternative to surgical intervention.4 However, the management of muscular ventricular septal defects often remains a challenge to cardiologists since the defect may be multiple and of varying size and shape.

Guideline pediatric congenital heart disease Single

Bogers, and M.L. Simoons, Outcome of patients after surgical closure of ventricular septal defect at young age: longitudinal follow-up of 22-34 years. Eur Heart J, 2004; 25: 1057-1062

Ventricular Septal Defect - PCICS

Muscular or trabecular VSDs (Numbers 3,4, & 5 in above illustration) o Less common 5-20% o Completely surrounded by muscular tissue o May appear as single defect on LV side and multiple defects on RV side due to trabeculations (criss-crossing fibrous and muscular tissue strands) o May close spontaneously o Swiss cheese septum

Anatomy of the ventricular septal defect in congenital heart

The ventricular septal defects can have different pheno-types. To be able to make a clear distinction between these phenotypes is essential for a correct diagnosis and medical and surgical management. The problem resides in the different systems of nomenclature that continue to create issues in communication between physicians.

Pre- and Post-operative Management of Cardiac Shunt Lesions

Aug 18, 2017 Malaligned defects are characterised by malalignment of the conal septum and trabecular muscular septum and occur in a similar position to perimembranous defects and typically occur as a component a more complex cardiac defect.

Surgical management of trabecular ventricular septal defects

Low trabecular septal defects are difficult to close, and closure has previously been achieved with a ventriculotomy. In our case, 8 (73%) of 11 patients had low trabecular septal defects. The location of the VSDs is depicted in Figure 1. Surgical Technique for Trabecular VSDs The surgical technique for trabecular VSDs is shown in Figure 2.


DORV is often associated with other septal or valvular defects, with ventricular septal defect (VSD) being the most common.2 Congenital cardiac abnormality appears during the first eight weeks of gestation. A defective gene, or chromosomal abnormalities, are thought to be the proposed mechanism of pathogenesis, and are reported

Surgical management ofcoarctationof aorta with ventricular

closure of the ventricular septal defect at the same time as relief of the coarctation.3 It is known, however, that if the patient survives relief of the coarctation alone, there is a fair chance that the ventricular septal defectwill neverrequireclosure, or may even close spontaneously.4 5 In other words, routine banding or ventricular septal

Pulmonary Atresia With Intact Ventricular Septum With

defects including pulmonary atresia with a ventricular septal defect (PA/VSD) as well as from severe forms of Ebstein s anomaly of the tricuspid valve, which can also present with RVOT obstruction (RVOTO). Anatomically and developmentally, PA/IVS represents a wide spectrum of related defects and abnormalities of the RV

Orphanet Journal of Rare Diseases

as ventricular septal defects, left ventricular outflow tract obstruction, aortic arch anomalies, and anomalous venous systemic return. Ventricular septal defects are particularly common, and their location and size are variable. They may be associ-ated with a certain degree of malalignement between the outlet and trabecular septum.

Isolated Two assessment and - Heart

with a ventricular septal defect and straddiing right (tricuspid) atrioventricular valve. Surprisingly, the defect in the latter patient was found to be in the muscular trabecular septum with chordae from the septal tricuspidleaflet straddling tobeattachedinthe morphologicallyleftventricle. Inthiscase,previously described,7 a

Outcome and requirement for surgical repair following

Outcome and requirement for surgical repair following prenatal diagnosis of ventricular septal defect Muscular defects were those with

Original Article - SciELO

the VSD in the ventricular septum, it was muscular trabecular in 119 cases (63.6%) and in a perimembranous region in 68 cases (36.3%). In the three evolution groups, defect closure (group I 64 cases) (table 1), defect maintenance (group II 74 cases) (table 2) and decrease in size of the defect (group III 17

Prevalence and distribution of children with congenital heart

Ventricular septal defects were classified regarding localization of defect - perimembranous (inlet, outlet, and trabecular) and muscular defects. Isolated ventricular septal defect was defined if there was only one defect. If another defect was present like atrial septal defect, patent ductus arteriosus, pulmonary stenosis,

Our Experience in 33 Patients of Multiple Ventricular Septal

fects closure is safe, simple and effective in closure of multiple ventricular septal defects. Keywords Ventricular Septal Defect, Pulmonary Arterial Pressure, Congenital, Infants 1. Introduction The management of patients with multiple ventricular septal defects by primary repair is a surgical challenge *Corresponding author.

Role of late surgical explantation of device from

(Figure 1D). The echocardiogram showed ventricular septal KEY TEACHING POINTS Leftbundlebranchblock(LBBB)isalessrecognized complication of transcatheter closure of perimembranous ventricular septal defects and is more likely to occur in defects that extend into the trabecular septum. Device-induced LBBB can lead to progressive

Outcomes of Patients Undergoing Surgical Management of

Outcomes of surgical management of multiple ven-tricular septal defects are improving in the current era. Central Message Multiple ventricular septal defect management outcomes are improving, although continue to carry significant complications. More recent tech-niques appear safe and useful in these patients. Perspective Statement Multiple

Chapter 46 Surgical Interventions for Congenital Heart Disease

Ventricular Septal Defects Ventricular septal defect is the most common congenital cardiac anomaly, occurring in 20% of patients with congenital heart disease (Fig. 46-1). Interventricular communication occurs with the failure of the ridges of tissue to fuse to form the septum. VSDs are traditionally classified as peri-

Surgical management of muscular ventricular septal defects

Surgical management of muscular ventricular septal defects: Selection of appropriate technique according to each location and size of ventricular septal defect. Department of Cardiothoracic Surgery, and Pediatric Cardiology, University of Toyama, Graduated School of Medicine, Toyama, Japan

Preoperative Physiology, Imaging, and

anterior-posterior. Typically, there is complete muscular conus beneath the aorta, but bilateral conus is also possi-ble, being more common in cases with ventricular septal defects (VSDs). Unlike the normal heart, where the out-flow tracts cross each other, the orientation of the great vessels in TGA is parallel with a resultant straight ven-


Double Orifice Mitral valve with Muscular Ventricular Septal defect: A case report 2 of 5 Figure 2 Short-axis view at the level of the papillary muscles demonstrated four papillary muscles (Fig 3). Figure 3 Unlike the rare anomaly duplication of mitral valve which has two annuli, this condition has a single mitral annulus.