Transthoracic Device Closure of Juxtaarterial Ventricular Septal Defects: Midterm Follow-Up Results Xueying Song, MD, Quansheng Xing, MD, Qin Wu, MD,

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Presentation transcript:

Transthoracic Device Closure of Juxtaarterial Ventricular Septal Defects: Midterm Follow-Up Results Xueying Song, MD, Quansheng Xing, MD, Qin Wu, MD, Yueyi Ren, MD, Hao Wan, MD, Jun Li, MB The Annals of Thoracic Surgery Volume 104, Issue 3, Pages 841-846 (September 2017) DOI: 10.1016/j.athoracsur.2017.01.042 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) An 18-gauge trocar; (B) 0.035-inch guide ire; (C) delivery sheath; and (D) occluder fixed on a delivery cable and in the loaded sheath. The Annals of Thoracic Surgery 2017 104, 841-846DOI: (10.1016/j.athoracsur.2017.01.042) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 The free wall of the right ventricle was exposed through a 3-cm lower partial median sternotomy. The Annals of Thoracic Surgery 2017 104, 841-846DOI: (10.1016/j.athoracsur.2017.01.042) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 A 0.035-inch guidewire crossed ventricular septal defect from the long-axis shown as (A) a two-dimensional ultrasound image and as (B) a color Doppler ultrasound image. The Annals of Thoracic Surgery 2017 104, 841-846DOI: (10.1016/j.athoracsur.2017.01.042) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 The left ventricle disk was deployed and pulled on the septum from the long-axis shown as (A) a two-dimensional ultrasound image and as (B) a color Doppler ultrasound image. The Annals of Thoracic Surgery 2017 104, 841-846DOI: (10.1016/j.athoracsur.2017.01.042) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 The waist and the right ventricle disk were deployed without residual shunt from the long-axis shown as (A) a two-dimensional ultrasound image and as (B) a color Doppler ultrasound image. The Annals of Thoracic Surgery 2017 104, 841-846DOI: (10.1016/j.athoracsur.2017.01.042) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 6 The degree of aortic valvar insufficiency preoperatively (Preop), immediately postoperatively (Postop), and on late follow-up (blue bars = zero; red bars = trivial; yellow bars = mild). The Annals of Thoracic Surgery 2017 104, 841-846DOI: (10.1016/j.athoracsur.2017.01.042) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 7 Degree of pulmonary valve insufficiency preoperatively (Preop), immediately postoperative (Postop), and on late follow-up (blue bars = zero; red bars = trivial). The Annals of Thoracic Surgery 2017 104, 841-846DOI: (10.1016/j.athoracsur.2017.01.042) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 8 (A, B) A follow-up chest ultrasound image shows that although the eccentric occluder was near to the aortic valve, aortic valve closure is good. The Annals of Thoracic Surgery 2017 104, 841-846DOI: (10.1016/j.athoracsur.2017.01.042) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions