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Original Articles: Pediatric Cardiac

Invited Commentary

Department of Cardiac Surgery, Children's Hospital Boston, 300 Longwood Ave, Boston, MA 02115

(Email: emile.bacha@cardio.chboston.org).

The first 20% of the full text of this article appears below.

The report from West China Hospital [1] is an interesting series of 30 off-pump perventricular transesophageal echocardiographic-guided device closure of membranous ventricular septal defects (VSD) in children ranging from 12 to 36 months of age. A subxiphoid minimally invasive incision was used. Twenty-seven patients (90%) had complete closure, and at 6 months follow-up, complete heart block had not developed in any patient, and 3 patients had mild tricuspid regurgitation. The 3 unsuccessful device attempts were converted to an open-heart approach in the same setting.

This is by far the largest reported series to date, and the lack of serious side effects in . . . [Full Text of this Article]

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Ann. Thorac. Surg. 2008 86: 142-146. [Abstract] [Full Text] [PDF]