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How To Do It

How to Choose an Occluder for Two Nearby Muscular Ventricular Septal Defects?

^a Department of Thoracic and Cardiovascular Surgery, Chengdu, Sichuan, People’s Republic of China
^b Department of Echocardiography, West China Hospital, Sichuan University, Chengdu, Sichuan, People’s Republic of China
^c Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, Sichuan, People’s Republic of China

Accepted for publication July 25, 2008.

^_* Address correspondence to Dr An, Department of Thoracic and Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, People’s Republic of China (Email: anqi8890{at}163.com).

Multiple muscular ventricular septal defects treated with a single device have been reported before, but the way of choosing a suitable occluder is not well described. Implantation of an oversized device might lead to potential side effects. We described our experience with a single device to close two nearby muscular ventricular septal defects perventricularly, and specifically the decision-making process used to choose the suitable occluder.