Intraoperative apical ventricular septal defect closure using a modified Rashkind double umbrella
- PMID: 8983687
- PMCID: PMC484552
- DOI: 10.1136/hrt.76.4.367
Intraoperative apical ventricular septal defect closure using a modified Rashkind double umbrella
Abstract
Objective: To demonstrate the safety and efficacy of intraoperative apical ventricular septal defect (VSD) closure using a modified Rashkind double umbrella.
Design: Descriptive study of all patients in whom intraoperative device closure of apical VSDs was attempted.
Setting: A tertiary referral centre.
Patients: Four patients with an apical VSD requiring closure, during the period January 1993 to May 1995.
Interventions: Intraoperative placement of a modified Rashkind umbrella.
Results: Four successful placements resulting in apical VSD closure, as judged by transoesophageal colour flow mapping. Three patients received a 17 mm and one a 12 mm umbrella. Early complete closure was achieved in three patients. There was a small residual leak around the 12 mm device that had resolved at 5 month follow up. There was one early death, which was unrelated to VSD closure.
Conclusion: Apical ventricular septal defects can be closed safely and effectively with intraoperative use of a modified Rashkind umbrella.
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