Percutaneous closure of a post-traumatic ventricular septal defect with a patent ductus arteriosus occluder
OBJECTIVE: Ventricular septal defects resulting from post-traumatic cardiac injury are very rare. Percutaneous closure has emerged as a method for treating this disorder. We wish to report our experience in three patients who underwent percutaneous closure of a post-traumatic ventricular septal defect with a patent ductus arteriosus occluder. METHODS: We treated three patients with post-traumatic ventricular septal defects caused by stab wounds with knives. After the heart wound was repaired, patient examinations revealed ventricular septal defects with pulmonary/systemic flow ratios (Qp/Qs) of over 1.7. The post-traumatic ventricular septal defects were closed percutaneously with a patent ductus arteriosus occluder (Lifetech Scientific (Shenzhen) Co., LTD, Guangdong, China) utilizing standard techniques. RESULTS: Post-operative transthoracic echocardiography revealed no residual left-to-right shunt and indicated normal ventricular function. In addition, 320-slice computerized tomography showed that the occluder was well placed and exhibited normal morphology. CONCLUSION: Our experiences indicate that closure of a post-traumatic ventricular septal defect using a patent ductus arteriosus occluder is feasible, safe, and effective.
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Faculdade de Medicina / USP
2012
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oai:scielo:S1807-593220120011000102014-01-21Percutaneous closure of a post-traumatic ventricular septal defect with a patent ductus arteriosus occluderXi,Er-PingZhu,JianZhu,Shui-BoYin,Gui-LinLiu,YongDong,Yong-QiangZhang,YuXia,Feng Post-Traumatic Ventricular Septal Defect Cardiac Injury Percutaneous Closure Patent Ductus Arteriosus Occlude OBJECTIVE: Ventricular septal defects resulting from post-traumatic cardiac injury are very rare. Percutaneous closure has emerged as a method for treating this disorder. We wish to report our experience in three patients who underwent percutaneous closure of a post-traumatic ventricular septal defect with a patent ductus arteriosus occluder. METHODS: We treated three patients with post-traumatic ventricular septal defects caused by stab wounds with knives. After the heart wound was repaired, patient examinations revealed ventricular septal defects with pulmonary/systemic flow ratios (Qp/Qs) of over 1.7. The post-traumatic ventricular septal defects were closed percutaneously with a patent ductus arteriosus occluder (Lifetech Scientific (Shenzhen) Co., LTD, Guangdong, China) utilizing standard techniques. RESULTS: Post-operative transthoracic echocardiography revealed no residual left-to-right shunt and indicated normal ventricular function. In addition, 320-slice computerized tomography showed that the occluder was well placed and exhibited normal morphology. CONCLUSION: Our experiences indicate that closure of a post-traumatic ventricular septal defect using a patent ductus arteriosus occluder is feasible, safe, and effective.info:eu-repo/semantics/openAccessFaculdade de Medicina / USPClinics v.67 n.11 20122012-11-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322012001100010en10.6061/clinics/2012(11)10 |
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Xi,Er-Ping Zhu,Jian Zhu,Shui-Bo Yin,Gui-Lin Liu,Yong Dong,Yong-Qiang Zhang,Yu Xia,Feng |
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Xi,Er-Ping Zhu,Jian Zhu,Shui-Bo Yin,Gui-Lin Liu,Yong Dong,Yong-Qiang Zhang,Yu Xia,Feng Percutaneous closure of a post-traumatic ventricular septal defect with a patent ductus arteriosus occluder |
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Xi,Er-Ping Zhu,Jian Zhu,Shui-Bo Yin,Gui-Lin Liu,Yong Dong,Yong-Qiang Zhang,Yu Xia,Feng |
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Xi,Er-Ping |
title |
Percutaneous closure of a post-traumatic ventricular septal defect with a patent ductus arteriosus occluder |
title_short |
Percutaneous closure of a post-traumatic ventricular septal defect with a patent ductus arteriosus occluder |
title_full |
Percutaneous closure of a post-traumatic ventricular septal defect with a patent ductus arteriosus occluder |
title_fullStr |
Percutaneous closure of a post-traumatic ventricular septal defect with a patent ductus arteriosus occluder |
title_full_unstemmed |
Percutaneous closure of a post-traumatic ventricular septal defect with a patent ductus arteriosus occluder |
title_sort |
percutaneous closure of a post-traumatic ventricular septal defect with a patent ductus arteriosus occluder |
description |
OBJECTIVE: Ventricular septal defects resulting from post-traumatic cardiac injury are very rare. Percutaneous closure has emerged as a method for treating this disorder. We wish to report our experience in three patients who underwent percutaneous closure of a post-traumatic ventricular septal defect with a patent ductus arteriosus occluder. METHODS: We treated three patients with post-traumatic ventricular septal defects caused by stab wounds with knives. After the heart wound was repaired, patient examinations revealed ventricular septal defects with pulmonary/systemic flow ratios (Qp/Qs) of over 1.7. The post-traumatic ventricular septal defects were closed percutaneously with a patent ductus arteriosus occluder (Lifetech Scientific (Shenzhen) Co., LTD, Guangdong, China) utilizing standard techniques. RESULTS: Post-operative transthoracic echocardiography revealed no residual left-to-right shunt and indicated normal ventricular function. In addition, 320-slice computerized tomography showed that the occluder was well placed and exhibited normal morphology. CONCLUSION: Our experiences indicate that closure of a post-traumatic ventricular septal defect using a patent ductus arteriosus occluder is feasible, safe, and effective. |
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Faculdade de Medicina / USP |
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2012 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322012001100010 |
work_keys_str_mv |
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