title: Periventricular closure of a perimembranous VSD: treatment option in selected patients.
abstract: Ventricular septal defects (VSDs) are a common congenital heart disease. Usually, surgical repair with cardiopulmonary bypass (CPB) is the treatment of choice, whereas percutaneous techniques have technical limitations, predominantly a mismatch of catheter size and body weight. A 7-year-old girl underwent periventricular closure of a perimembranous VSD on the beating heart. Echocardiography guided implantation through a minimally invasive sternotomy was uneventful. The described approach adds favorably to the current practice avoiding the use of CPB. Cosmetic aspect and rapid early postoperative recovery are convincing.
authors.affiliation: Department of Cardiovascular Surgery, German Heart Center Munich at the Technical University, Munich, Germany. schreiber@dhm.mhn.de
authors.forename: Christian
authors.initials: C
authors.lastname: Schreiber
authors.forename: Manfred
authors.initials: M
authors.lastname: Vogt
authors.forename: Andreas
authors.initials: A
authors.lastname: Kühn
authors.forename: Jürgen
authors.initials: J
authors.lastname: Hörer
authors.forename: Jelena
authors.initials: J
authors.lastname: Samprec
authors.forename: Zhuang
authors.initials: Z
authors.lastname: Zhongyun
authors.forename: Zhang
authors.initials: Z
authors.lastname: Fengwei
authors.forename: Rüdiger
authors.initials: R
authors.lastname: Lange
mesh_terms: D006328:Cardiac Catheterization; D002648:Child; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D006801:Humans; D056346:Sternotomy; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional