Transcatheter Closure of Membranous Ventricular Septal Defects-Old Problems and New Solutions

Gianfranco Butera; Luciane Piazza; Antonio Saracino; Massimo Chessa; Mario Carminati

doi:10.1016/j.iccl.2012.09.003

Transcatheter Closure of Membranous Ventricular Septal Defects-Old Problems and New Solutions

Interv Cardiol Clin. 2013 Jan;2(1):85-91. doi: 10.1016/j.iccl.2012.09.003. Epub 2012 Dec 3.

Authors

Gianfranco Butera¹, Luciane Piazza², Antonio Saracino², Massimo Chessa², Mario Carminati²

Affiliations

¹ Pediatric Cardiology and GUCH Unit, Policlinico San Donato IRCCS, Via Morandi 30, San Donato Milanese 20097, Italy. Electronic address: gianfranco.butera@grupposandonato.it.
² Pediatric Cardiology and GUCH Unit, Policlinico San Donato IRCCS, Via Morandi 30, San Donato Milanese 20097, Italy.

PMID: 28581989
DOI: 10.1016/j.iccl.2012.09.003

Abstract

Isolated perimembranous ventricular septal defect (VSD) is the most common congenital heart defect (after bicuspid aortic valve). Surgery is considered the gold standard for the treatment of these VSDs. However, it is associated with morbidity and mortality. Less invasive techniques have been developed, and percutaneous closure of perimembranous VSDs is now considered a possible alternative to the standard surgical approach. The main problem associated with transcatheter closure of VSD is the occurrence of complete atrioventricular block and need for pacemaker implantation. Improvements in technology and design will help to reduce the occurrence of this problem in the near future.

Keywords: Arrhthmias; Closure; Conduction system; Membranous; Transcatheter; Ventricular septal defect.

Publication types

Review