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Ann Thorac Surg 2008;85:1067-1071. doi:10.1016/j.athoracsur.2007.10.048
© 2008 The Society of Thoracic Surgeons
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New Technology

A New Minimally Invasive Technique to Occlude Ventricular Septal Defect Using an Occluder Device

Feng Li, MD*, Ming Chen, MD, ZhaoKun Qiu, MD, Jing Lu, MD, WeiHua Wu, MD

Department of Cardiovascular Surgery, Shanghai Chest Hospital, Shanghai, China

Accepted for publication October 10, 2007.

* Address correspondence to Dr Li, Room 101, No. 16, Lane 768, South Qinzhou Rd, Shanghai, 200233, China (Email: ciqic{at}online.sh.cn).

Purpose: This study was to evaluate ventricular septal defect occlusion using a lower mini-sternotomy approach.

Description: Eleven cases with ventricular septal defect underwent general anesthesia and a 3 to 4 cm lower mini-sternotomy incision was made. Using transesophageal echocardiography, the occluder was released using a mono-tubed unit.

Evaluation: All cases were occluded successfully. No patient required open heart surgery using extracorporeal circulation. There were no major complications and no evidence of residual ventricular shunt.

Conclusions: Ventricular septal defect occlusion through a minimal surgical incision is safe, less invasive, and has an excellent outcome.




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