Transcatheter Closure of Perimembranous Ventricular Septal Defects with Left Ventricular to Right Atrial Shunt

详细信息    查看全文

• 作者：Gunter Kerst ; Axel Moysich ; Siew Yen Ho ; Christian Apitz…
• 关键词：Congenital heart disease ; Perimembranous ventricular septal defect ; Gerbode defect ; Interventional cardiology
• 刊名：Pediatric Cardiology
• 出版年：2015
• 出版时间：October 2015
• 年：2015
• 卷：36
• 期：7
• 页码：1386-1392
• 全文大小：2,999 KB
• 参考文献：1.Anderson RH, Lenox CC, Zuberbuhler JR (1983) Mechanisms of closure of perimembranous ventricular septal defect. Am J Cardiol 52:341-45CrossRef PubMed
  2.Bouchardy J, Therrien J, Pilote L, Ionescu-Ittu R, Martucci G, Bottega N et al (2009) Atrial arrhythmias in adults with congenital heart disease. Circulation 120:1679-686CrossRef PubMed
  3.Butera G, Carminati M, Chessa M, Piazza L, Micheletti A, Negura DG et al (2007) Transcatheter closure of perimembranous ventricular septal defects: early and long-term results. J Am Coll Cardiol 50:1189-195CrossRef PubMed
  4.Freedom RM, White RD, Pieroni DR, Varghese PJ, Krovetz LJ, Rowe RD (1974) The natural history of the so-called aneurysm of the membranous ventricular septum in childhood. Circulation 49:375-84CrossRef PubMed
  5.Gerbode F, Hultgren H, Melrose D, Osborn J (1958) Syndrome of left ventricular-right atrial shunt; successful surgical repair of defect in five cases, with observation of bradycardia on closure. Ann Surg 148:433-46PubMed Central CrossRef PubMed
  6.Hagler DJ, Squarcia U, Cabalka AK, Connolly HM, O’Leary PW (2002) Mechanism of tricuspid regurgitation in paramembranous ventricular septal defect. J Am Soc Echocardiogr 15:364-68CrossRef PubMed
  7.Hijazi ZM (2003) Device closure of ventricular septal defects. Catheter Cardiovasc Interv 60:107-14CrossRef PubMed
  8.Ho SY, McCarthy KP, Rigby ML (2004) Morphology of perimembranous ventricular septal defects: implications for transcatheter device closure. J Interv Cardiol 17:99-08CrossRef PubMed
  9.Holzer R, de Giovanni J, Walsh KP, Tometzki A, Goh T, Hakim F et al (2006) Transcatheter closure of perimembranous ventricular septal defects using the Amplatzer membranous VSD occluder: immediate and midterm results of an international registry. Catheter Cardiovasc Interv 68:620-28CrossRef PubMed
  10.Jacobs JP, Burke RP, Quintessenza JA, Mavroudis C (2000) Congenital heart surgery nomenclature and database project: ventricular septal defect. Ann Thorac Surg 69:S25–S35CrossRef PubMed
  11.Leung MP, Mok CK, Lo RN, Lau KC (1986) An echocardiographic study of perimembranous ventricular septal defect with left ventricular to right atrial shunting. Br Heart J 55:45-2PubMed Central CrossRef PubMed
  12.Michel-Behnke I, Le TP, Waldecker B, Akintuerk H, Valeske K, Schranz D (2005) Percutaneous closure of congenital and acquired ventricular septal defects—considerations on selection of the occlusion device. J Interv Cardiol 18:89-9CrossRef PubMed
  13.Pedra CA, Pedra SR, Esteves CA, Pontes SC Jr, Braga SL, Arrieta SR et al (2004) Percutaneous closure of perimembranous ventricular septal defects with the Amplatzer device: technical and morphological considerations. Catheter Cardiovasc Interv 61:403-10CrossRef PubMed
  14.Qin Y, Chen J, Zhao X, Liao D, Mu R, Wang S et al (2008) Transcatheter closure of perimembranous ventricular septal defect using a modified double-disk occluder. Am J Cardiol 101:1781-786CrossRef PubMed
  15.Ramaciotti C, Keren A, Silverman NH (1986) Importance of (perimembranous) ventricular septal aneurysm in the natural history of isolated perimembranous ventricular septal defect. Am J Cardiol 57:268-72CrossRef PubMed
  16.Schwedler G, Lindinger A, Lange PE, Sax U, Olchvary J, Peters B et al (2011) Frequency and spectrum of congenital heart defects among live births in Germany : a study of the competence network for congenital heart defects. Clin Res Cardiol 100:1111-117CrossRef PubMed
  17.Sutherland GR, Godman MJ, Smallhorn JF, Guiterras P, Anderson RH, Hunter S (1982) Ventricular septal defects. Two dimensional echocardiographic and morphological correlations. Br Heart J 47:316-28PubMed Central CrossRef PubMed
  18.Tucker EM, Pyles LA, Bass JL, Moller JH (2007) Permanent pacemaker for atrioventricular conduction block after operative repair of perimembranous ventricular septal defect. J Am Coll Cardiol 50:1196-200CrossRef PubMed
  19.Tzikas A, Ibrahim R, Velasco-Sanchez D, Freixa X, Alburquenque M, Khairy P et al (2014) Transcatheter closure of perimembranous ventricular septal defect with the Amplatzer? membranous VSD occluder 2: initial world experience and one-year follow-up. Catheter Cardiovasc Interv 83:571-80CrossRef PubMed
  20.Vijayalakshmi IB, Narasimhan C, Singh B, Manjunath CN (2013) Treatment of congenital non-ductal shunt lesions with the amplatzer duct occluder II. Catheter Cardiovasc Interv. doi:10.-002/?ccd.-5250 PubMed
  21.Wu MH, Chang CI, Wang JK, Lue HC (1994) Characterization of aneurysmal transformation in perimembranous ventricular septal defects: an adhered anterior leaflet of tricuspid valve predisposes to the development of left ventricular-to-right atrial shunt. Int J Cardiol 47:117-25CrossRef PubMed
  22.Wu MH, Wang JK, Lin MT, Wu ET, Lu FL, Chiu SN et al (2006) Ventricular septal defect with secondary left ventricular-to-right atrial shunt is associated with a higher risk for infective endocarditi
• 作者单位：Gunter Kerst (1)
  Axel Moysich (1)
  Siew Yen Ho (2)
  Christian Apitz (1)
  Heiner Latus (1)
  Dietmar Schranz (1)
  
  1. Department of Pediatric Cardiology, Pediatric Heart Center Giessen, University Children’s Hospital, Feulgenstr. 10-12, 35392, Giessen, Germany
  2. Cardiac Morphology Unit, Royal Brompton Hospital, Imperial College London, London, UK
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Cardiology
  Cardiac Surgery
  Vascular Surgery
  
• 出版者：Springer New York
• ISSN：1432-1971

文摘

During the development of so-called aneurysmal transformation of perimembranous ventricular septal defects (pmVSD), tricuspid valve (TV) morphology and function may be altered resulting in left ventricular (LV) to right atrial (RA) shunting. The feasibility and outcome of interventional closure of these pmVSD has not been investigated so far. Interventional closure of pmVSD associated with mild to moderate LV-to-RA shunt was performed in four patients (aged 6.5-2.5 years). pmVSD were closed under fluoroscopic guidance by establishing an arteriovenous wire loop via a femoral artery and advancing the delivery sheath from a femoral vein. Before device release (or withdrawal if necessary), residual shunting across the device and TV valve function was investigated by transthoracic echocardiography and LV angiography. pmVSD sizes of 4, 5.5, 8 and 8.5 mm were closed with a 4/4 and 6/6 Amplatzer duct occluder II and an 8- and 10-mm Amplatzer muscular VSD occluder device, respectively. There were no or only minor residual postinterventional LV-to-RA shunts. No atrioventricular blocks were observed during a mean follow-up of 12.5 months (range 6.5-7 months). Transthoracic echocardiography indicated that the elimination of the VSD jet pushing the antero-superior TV leaflet open is the key mechanism for LV-to-RA shunt reduction after transcatheter pmVSD closure. Interventional closure in pmVSD associated with mild to moderate indirect LV-to-RA shunting is feasible and results in significant reduction in or elimination of LV-to-RA shunting. Keywords Congenital heart disease Perimembranous ventricular septal defect Gerbode defect Interventional cardiology