PERCUTANEOUS VSD CLOSURE UNDER 1 YEAR OF AGE.
Introduction: Main aim of this study to share our experience about percutaneous Ventricular Septal Defects(VSD) closure under 1 year of age. Untreated large VSD are important reason of congestive heart failure in early infancy. This population usually fails to grow and surgical closure is challenging because of congestion in their lungs prone to respiratory infection and their bad nutritional status.
Material and Method: We have performed VSD closure of 11 patients under 1 year of age between the dates December 2014- January 2017 in our university Pediatric Cardiology Department.
Results: Age of patients ranged between 2 months-12 months. Weight of the patients during the procedure was between 7[+ or -]2.7 kg. Median VSD diameter was 3[+ or -]0.84mm. One of defects was muscular, rest of them were perimembranous. All defects were closed with Amplatzer Ductal occluder II (ADO-II). Mean fuoroscopy duration and total radiation dosage were 22.6 [+ or -] 18.7 minutes and 1674 [+ or -]851 cGy/min respectively. We did not face with any major complication except in one patient: complete AV block was seen one month after the procedure. Pacemaker was implanted. No aortic regurgitation associated with device was seen in patients.
Conclusion: The procedure of VSD closure, whether it is surgical or percutaneous, is very risky. The risks were higher when the children were smaller than 1 year of age and low body weight. Percutaneous VSD closure may be an alternative to surgery in early infancy that carry the similar risks but less invasive.
Nazmi Narin, Ozge Pamukcu, Ali Baykan, Suleyman Sunkak, Onur Tasci, Kazim Uzum
Division of Pediatric Cardiology, Erciyes University School of Medicine, Kayseri, Turkey
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|Title Annotation:||Poster Presentation Abstracts; Ventricular Septal Defects|
|Author:||Narin, Nazmi; Pamukcu, Ozge; Baykan, Ali; Sunkak, Suleyman; Tasci, Onur; Uzum, Kazim|
|Publication:||Erciyes Medical Journal|
|Date:||Mar 1, 2017|
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