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Unidirectional ventricular septal valved patch for repair of late presenting ventricular septal defect with aortopulmonary window
Management of long standing left to right shunt lesion resulting in elevated pulmonary vascular resistance (PVR) is challenging. Limited surgical options are further complicated by an unpredictable postoperative period. Unidirectional valve patch (UVP) closure has shown to be useful in cases of the...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4782481/ https://www.ncbi.nlm.nih.gov/pubmed/27011704 http://dx.doi.org/10.4103/0974-2069.171404 |
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author | Makhija, Neeti Narula, Jitin Keshri, Vikas Kumar Gupta, Saurabh Kumar Talwar, Sachin |
author_facet | Makhija, Neeti Narula, Jitin Keshri, Vikas Kumar Gupta, Saurabh Kumar Talwar, Sachin |
author_sort | Makhija, Neeti |
collection | PubMed |
description | Management of long standing left to right shunt lesion resulting in elevated pulmonary vascular resistance (PVR) is challenging. Limited surgical options are further complicated by an unpredictable postoperative period. Unidirectional valve patch (UVP) closure has shown to be useful in cases of the large ventricular septal defect (VSD) who present late. We report a case of large aortopulmonary window coexisting with a large VSD with severe pulmonary artery hypertension and significantly elevated PVR that was managed surgically by closure of the window by sandwich technique and closure of the septal defect with a UVP. This report emphasizes the importance of UVP in the management of such patients. |
format | Online Article Text |
id | pubmed-4782481 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-47824812016-03-23 Unidirectional ventricular septal valved patch for repair of late presenting ventricular septal defect with aortopulmonary window Makhija, Neeti Narula, Jitin Keshri, Vikas Kumar Gupta, Saurabh Kumar Talwar, Sachin Ann Pediatr Cardiol Case Report Management of long standing left to right shunt lesion resulting in elevated pulmonary vascular resistance (PVR) is challenging. Limited surgical options are further complicated by an unpredictable postoperative period. Unidirectional valve patch (UVP) closure has shown to be useful in cases of the large ventricular septal defect (VSD) who present late. We report a case of large aortopulmonary window coexisting with a large VSD with severe pulmonary artery hypertension and significantly elevated PVR that was managed surgically by closure of the window by sandwich technique and closure of the septal defect with a UVP. This report emphasizes the importance of UVP in the management of such patients. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC4782481/ /pubmed/27011704 http://dx.doi.org/10.4103/0974-2069.171404 Text en Copyright: © Annals of Pediatric Cardiology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Makhija, Neeti Narula, Jitin Keshri, Vikas Kumar Gupta, Saurabh Kumar Talwar, Sachin Unidirectional ventricular septal valved patch for repair of late presenting ventricular septal defect with aortopulmonary window |
title | Unidirectional ventricular septal valved patch for repair of late presenting ventricular septal defect with aortopulmonary window |
title_full | Unidirectional ventricular septal valved patch for repair of late presenting ventricular septal defect with aortopulmonary window |
title_fullStr | Unidirectional ventricular septal valved patch for repair of late presenting ventricular septal defect with aortopulmonary window |
title_full_unstemmed | Unidirectional ventricular septal valved patch for repair of late presenting ventricular septal defect with aortopulmonary window |
title_short | Unidirectional ventricular septal valved patch for repair of late presenting ventricular septal defect with aortopulmonary window |
title_sort | unidirectional ventricular septal valved patch for repair of late presenting ventricular septal defect with aortopulmonary window |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4782481/ https://www.ncbi.nlm.nih.gov/pubmed/27011704 http://dx.doi.org/10.4103/0974-2069.171404 |
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