Per-ventricular Device Closure of Doubly Committed Sub-arterial Ventricular Septal Defect ——Technical Consideration and Perioperative Management_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

CHENMiao , ZHUDa ,  ANQi

Department of Cardiovascular Surgery, Pediatric Heart Center, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;

Corresponding author：

ANQi, Email: anqi8890@163.com

Keywords：

Doubly committed sub-arterial VSD; Per-ventricular device closure; Surgical technique; Perioperative management

DOI：

10.7507/1007-4848.20150150

Video：

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Abstract Full text Figures/Tables Video References Cited by

Doubly committed sub-arterial ventricular septal defect (VSD) is a unique type of VSD which is located beneath both the aortic and pulmonary valve. Open-heart repair is traumatic especially for pediatric patient while trans-catheter device closure is also not suitable for this type of VSD. Minimally invasive per-ventricular device closure has been introduced as an alternative method in the treatment of doubly committed VSD with encouraging results. In the review, we will illustrate the surgical technique as well as perioperative management strategy as for this technique in treating doubly committed VSD.

Citation： CHENMiao, ZHUDa, ANQi. Per-ventricular Device Closure of Doubly Committed Sub-arterial Ventricular Septal Defect ——Technical Consideration and Perioperative Management. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2015, 22(6): 596-601. doi: 10.7507/1007-4848.20150150 Copy

1.	Griffin ML, Sullivan I, Anderson RH, et al. Doubly committed subarterial ventricular septal defect:new morphological criteria with echocardiographic and angiocardiographic correlation. British Heart J, 1988, 59(4):474-479.
2.	Mitchell SC, Korones SB, Berendes HW. Congenital heart disease in 56,109 births. Incidence and natural history. Circulation, 1971, 43(3):323-332.
3.	Sim EK, Grignani RT, Wong M-L, et al. Outcome of surgical closure of doubly committed subarterial ventricular septal defect. Ann Thorac Surg, 1999, 67(3):736-738.
4.	Brauner R, Birk E, Sahar G, et al. Surgical management of ventricular septal defect with aortic valve prolapse:clinical considerations and results. Eur J Cardiothorac Surg, 1995, 9(6):315-319.
5.	Lun K, Li H, Leung MP, et al. Analysis of indications for surgical closure of subarterial ventricular septal defect without associated aortic cusp prolapse and aortic regurgitation. Am J Cardiol, 2001, 87(11):1266-1270.
6.	Bütter A, Duncan W, Weatherdon D, et al. Aortic cusp prolapse in ventricular septal defect and its association with aortic regurgitation--appropriate timing of surgical repair and outcomes. Can J Cardiol, 1998, 14(6):833-840.
7.	Cheung YF, Chiu CS, Yung TC, et al. Impact of preoperative aortic cusp prolapse on long-term outcome after surgical closure of subarterial ventricular septal defect. Ann Thorac Surg, 2002, 73(2):622-627.
8.	Tweddell JS, Pelech AN, Frommelt PC. Ventricular septal defect and aortic valve regurgitation:pathophysiology and indications for surgery. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu, 2006:147-152.
9.	Amin Z, Danford DA, Lof J, et al. Intraoperative device closure of perimembranous ventricular septal defects without cardiopulmonary bypass:preliminary results with the perventricular technique. J Thorac Cardiovasc Surg, 2004, 127(1):234-241.
10.	Amin Z, Gu X, Berry JM, et al. Perventricular closure of ventricular septal defects without cardiopulmonary bypass. Ann Thorac Surg, 1999, 68(1):149-153.
11.	Pedra CA, Pedra SR, Chaccur P, et al. Perventricular device closure of congenital muscular ventricular septal defects. J Thorac Cardiovasc Surg, 2003, 126(6):1718-1723.
12.	Yin S, Zhu D, Lin K, et al. Perventricular device closure of congenital ventricular septal defects. J Card Surg, 2014, 29(3):390-400.
13.	朱达, 赁可, 冯沅, 等. 杂交技术治疗婴幼儿及儿童肌部室间隔缺损——华西医院经验. 中国胸心血管外科临床杂志, 2015, 22(2):118-122.
14.	Chen Q, Chen LW, Wang QM, et al. Intraoperative device closure of doubly committed subarterial ventricular septal defects:initial experience. Ann Thorac Surg, 2010, 90(3):869-873.
15.	Pan S, Xing Q, Cao Q, et al. Perventricular device closure of doubly committed subarterial ventral septal defect through left anterior minithoracotomy on beating hearts. Ann Thorac Surg, 2012, 94(6):2070-2075.
16.	Lin K, Zhu D, Tao K, et al. Hybrid perventricular device closure of doubly committed subarterial ventricular septal defects:mid-term results. Catheter Cardiovascular Interv, 2013, 82(3):E225-E232.
17.	Liu L, Zhao TL, Yang YF, et al. Intraoperative device closure of subaortic ventricular septal defects. J Cardiac Surg, 2013, 28(4):456-460.
18.	Zhu D, Lin K, Tang ML, et al. Midterm results of hybrid perventricular closure of doubly committed sub-arterial ventricular septal defects in pediatric patients. J Cardiac Surg, 2014, 29(4):546-553.
19.	Hu S, Yang Y, Wu Q, et al. Results of two different approaches to closure of subaortic ventricular septal defects in children. Eur J Cardiothorac Surg, 2014, 46(4):648-653.
20.	Gan C, Zhang J, Lin K, et al. Perventricular device closure of a doubly committed subarterial ventricular septal defect. Multimed Man Cardiothorac Surg, 2015. doi:10.1093/mmcts/mmv001.

1. Griffin ML, Sullivan I, Anderson RH, et al. Doubly committed subarterial ventricular septal defect:new morphological criteria with echocardiographic and angiocardiographic correlation. British Heart J, 1988, 59(4):474-479.
2. Mitchell SC, Korones SB, Berendes HW. Congenital heart disease in 56,109 births. Incidence and natural history. Circulation, 1971, 43(3):323-332.
3. Sim EK, Grignani RT, Wong M-L, et al. Outcome of surgical closure of doubly committed subarterial ventricular septal defect. Ann Thorac Surg, 1999, 67(3):736-738.
4. Brauner R, Birk E, Sahar G, et al. Surgical management of ventricular septal defect with aortic valve prolapse:clinical considerations and results. Eur J Cardiothorac Surg, 1995, 9(6):315-319.
5. Lun K, Li H, Leung MP, et al. Analysis of indications for surgical closure of subarterial ventricular septal defect without associated aortic cusp prolapse and aortic regurgitation. Am J Cardiol, 2001, 87(11):1266-1270.
6. Bütter A, Duncan W, Weatherdon D, et al. Aortic cusp prolapse in ventricular septal defect and its association with aortic regurgitation--appropriate timing of surgical repair and outcomes. Can J Cardiol, 1998, 14(6):833-840.
7. Cheung YF, Chiu CS, Yung TC, et al. Impact of preoperative aortic cusp prolapse on long-term outcome after surgical closure of subarterial ventricular septal defect. Ann Thorac Surg, 2002, 73(2):622-627.
8. Tweddell JS, Pelech AN, Frommelt PC. Ventricular septal defect and aortic valve regurgitation:pathophysiology and indications for surgery. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu, 2006:147-152.
9. Amin Z, Danford DA, Lof J, et al. Intraoperative device closure of perimembranous ventricular septal defects without cardiopulmonary bypass:preliminary results with the perventricular technique. J Thorac Cardiovasc Surg, 2004, 127(1):234-241.
10. Amin Z, Gu X, Berry JM, et al. Perventricular closure of ventricular septal defects without cardiopulmonary bypass. Ann Thorac Surg, 1999, 68(1):149-153.
11. Pedra CA, Pedra SR, Chaccur P, et al. Perventricular device closure of congenital muscular ventricular septal defects. J Thorac Cardiovasc Surg, 2003, 126(6):1718-1723.
12. Yin S, Zhu D, Lin K, et al. Perventricular device closure of congenital ventricular septal defects. J Card Surg, 2014, 29(3):390-400.
13. 朱达, 赁可, 冯沅, 等. 杂交技术治疗婴幼儿及儿童肌部室间隔缺损——华西医院经验. 中国胸心血管外科临床杂志, 2015, 22(2):118-122.
14. Chen Q, Chen LW, Wang QM, et al. Intraoperative device closure of doubly committed subarterial ventricular septal defects:initial experience. Ann Thorac Surg, 2010, 90(3):869-873.
15. Pan S, Xing Q, Cao Q, et al. Perventricular device closure of doubly committed subarterial ventral septal defect through left anterior minithoracotomy on beating hearts. Ann Thorac Surg, 2012, 94(6):2070-2075.
16. Lin K, Zhu D, Tao K, et al. Hybrid perventricular device closure of doubly committed subarterial ventricular septal defects:mid-term results. Catheter Cardiovascular Interv, 2013, 82(3):E225-E232.
17. Liu L, Zhao TL, Yang YF, et al. Intraoperative device closure of subaortic ventricular septal defects. J Cardiac Surg, 2013, 28(4):456-460.
18. Zhu D, Lin K, Tang ML, et al. Midterm results of hybrid perventricular closure of doubly committed sub-arterial ventricular septal defects in pediatric patients. J Cardiac Surg, 2014, 29(4):546-553.
19. Hu S, Yang Y, Wu Q, et al. Results of two different approaches to closure of subaortic ventricular septal defects in children. Eur J Cardiothorac Surg, 2014, 46(4):648-653.
20. Gan C, Zhang J, Lin K, et al. Perventricular device closure of a doubly committed subarterial ventricular septal defect. Multimed Man Cardiothorac Surg, 2015. doi:10.1093/mmcts/mmv001.

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Per-ventricular Device Closure of Doubly Committed Sub-arterial Ventricular Septal Defect ——Technical Consideration and Perioperative Management

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