Single-stage off-pump repair of coarctation of the aorta and ventricular septal defects in children.
Yuriy Y KulyabinAlexey V VoitovNataliya R NichayIlya A SoynovAlexey V ZubritskiyAlexander V Bogachev-ProkophievPublished in: Interactive cardiovascular and thoracic surgery (2022)
Periventricular device closure can be used safely for closure of VSD in children with coarctation of the aorta without a hypoplastic aortic arch, even in neonates, to reduce the risk of prolonged cardiopulmonary bypass. This hybrid approach can be performed with a low incidence of rhythm disturbances and residual shunting. However, a meticulous assessment of the VSD anatomy is essential to avoid any unfavourable events.