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García-Valentín A, Congiu S, Mayol J, Prada F, Mortera C, Pomar JL, Caffarena JM

Device migration in hybrid technique for apical muscular ventricular septal defects closure.

Interact Cardiovasc Thorac Surg. 2007 Dec;6(6):780-2, PMID: 17884849

Muscular ventricular septal defects still require complex surgical procedures for their repair. We have used a hybrid approach for closure of these ventricular septal defects in patients needing open-heart surgery. It consists of the deployment of a ventricular septal occluder, as used in transcatheter procedures inside the defect under direct vision after cardiopulmonary bypass establishment. Through this paper, we report a case to illustrate a new and simple technique to avoid one of the most dramatic complications after this procedure: the migration of the closure device.