This video demonstrates a hybrid procedure for the closure of a large muscular ventricular septal defect in a 4-month-old boy with a body weight of 5.7 kg. After a median sternotomy, an 8F sheath is placed through the right ventricular free wall. An Amplatzer muscular VSD-occluder (8 mm) is implanted under echocardiographic visualization. This direct approach is very useful in small patients with apical defects and difficult vascular access. The duration of this procedure is short, and it can be accomplished at a low risk.
This video is available in the CTSNet China Resource Center for CTSNet users who are unable to view videos due to YouTube restrictions.
Great job
Great job
Nice work
Well done, but with the better cosmetic effect it is possible to do an exposure of the heart through a partial inferior sternotomy (2-3cm).