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. 1996 Oct;76(4):367-9.
doi: 10.1136/hrt.76.4.367.

Intraoperative apical ventricular septal defect closure using a modified Rashkind double umbrella

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Intraoperative apical ventricular septal defect closure using a modified Rashkind double umbrella

R R Chaturvedi et al. Heart. 1996 Oct.

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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