Evolution of surgery of ventricular septal defect closure

Akkerbez Adilbekova 1 * , Shukhrat Marasulov 1, Bakhytzhan Nurkeyev 1, Saken Kozhakhmetov 2
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1 Pediatric Cardiac Surgery Department, National Scientific Medical Center, Nur-Sultan, Kazakhstan
2 Department of Surgical Diseases with courses in cardiothoracic surgery and maxillofacial surgery, Аstana Medical University, Nur-Sultan, Kazakhstan
* Corresponding Author
J CLIN MED KAZ, Volume 19, Issue 5, pp. 4-8. https://doi.org/10.23950/jcmk/12505
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ABSTRACT

A ventricular septal defect is one of the foremost prevalent congenital heart defects, accounting for around 20% of all congenital heart malformations.
Nowadays, there are three surgical methods for ventricular septal defect: surgical treatment of ventricular septal defect with a heart-lung machine, interventional closure of ventricular septal defect by percutaneous puncture, and hybrid operation (with no heart-lung machine).
Hybrid operation – there is some of the latest evolutions introduced in cardiac surgical treatment practice. This technique is mild, to reduce surgical trauma, and perform not connecting the patient to the heart-lung machine, without X-ray exposure, and there are additional indications than the interventional procedure.
The article reviewed literature sources on the surgical treatments of the ventricular septal defect and the results of the above methods, and also considers more detail especially hybrid operation (without a heart-lung machine).
Keywords: Congenital heart disease, ventricular septal defect, pediatric cardiac surgery, perventricular closure technique, hybrid method.

CITATION

Adilbekova A, Marasulov S, Nurkeyev B, Kozhakhmetov S. Evolution of surgery of ventricular septal defect closure. J CLIN MED KAZ. 2022;19(5):4-8. https://doi.org/10.23950/jcmk/12505

REFERENCES

  • Bravo-valenzuela N. J.ValenzuelaA. B., and Araujo Júnior E. Prenatal diagnosis of congenital heart disease: A review of current knowledge. Indian Heart Journal. 2018; 70(1). https://doi.org/10.1016/j.ihj.2017.12.005
  • Mitchell SC, Korones SB, Berendes HW: Congenital heart disease in 56,109 births. Incidence and natural history. Circulation 1971;43(3):323–332. https://doi.org/10.1161/01.cir.43.3.323
  • Moons P.et al. Congenital heart disease in 111 225 births in Belgium: Birth prevalence, treatment and survival in, the 21st century. Acta Paediatr. Int. J. Paediatr. 2009; 98(3). https://doi.org/10.1111/j.1651-2227.2008.01152.x
  • Roberts WC: The 2 most common congenital heart diseases [Editorial]. American Journal of Cardiology. 1984; 53: 1198. https://doi.org/10.1016/0002-9149(84)90662-3
  • Eleyan L., Zaidi M., Ashry A., Dhannapuneni R., and Harky A., Ventricular septal defect: Diagnosis and treatments in the neonates: A systematic review. Cardiol. Young. 2021; 31(5). https://doi.org/10.1017/S1047951120004576
  • Kidd L, Driscoll DJ, Gersony WM, et al: Second natural history study of congenital heart defects. Results of treatment of patients with ventricular septal defects. Circulation. 1993;87 (Suppl 2):138–151. PMID: 8425321
  • Mitchell SC, Korones SB, Berendes HW: Congenital heart disease in 56,109 births. Incidence and natural history. Circulation. 1971; 43: 323-332. https://doi.org/10.1161/01.CIR.43.3.323
  • Tuuli M. G. et al. Prevalence and likelihood ratios for aneuploidy in fetuses diagnosed prenatally with isolated congenital cardiac defects. Am. J. Obstet. Gynecol. 2009; 201(4). = https://doi.org/10.1016/j.ajog.2009.06.035
  • Anderson RH, Becker AE, Tynan M: Description of ventricular septal defects—or how long is a piece of string? Int J Cardiol. 1986;13(3):267–278. https://doi.org/10.1016/0167-5273(86)90114-2
  • Soto B, Becker AE, Moulaert AJ, Lie JT, Anderson RH: Classification of ventricular septal defects. British Heart Journal. 1980; 43: 332-343. https://doi.org/10.1136/hrt.43.3.332
  • Capelli H, Andrade JL, Somerville J: Classification of the site of ventriculara septal defect by 2-dimensional echocardiography. American Journal of Cardiology. 1983; 51: 1474-1480. https://doi.org/10.1016/0002-9149(83)90660-4
  • Jacobs JP, Burke RP, Quintessenza JA, Mavroudis C: Congenital Heart Surgery Nomenclature and Database Project: ventricular septal defect. Ann Thor Surg. 2000; 69(Suppl 4):S25-S35. https://doi.org/10.1016/S0003-4975(99)01270-9
  • Lopez L. et al. Classification of Ventricular Septal Defects for the Eleventh Iteration of the International Classification of Diseases—Striving for Consensus: A Report From the International Society for Nomenclature of Paediatric and Congenital Heart Disease. Ann. Thorac. Surg. 2018; 106(5):1578–1589. https://doi.org/10.1016/j.athoracsur.2018.06.020
  • Edgar L. J., Anderson R. H., Stickley J., and Crucian A. Borders as opposed to so-called geography: Which should be used to classify isolated ventricular septal defects? Eur. J. Cardio-thoracic Surg. 2020;. 58(4):801–808. https://doi.org/10.1093/ejcts/ezaa081
  • Kidd L, Driscoll DJ, Gersony WM, et al: Second natural history study of congenital heart defects. Results of treatment of patients with ventricular septal defects. Circulation. 1993;87 (Suppl 2): 138–151. PMID: 8425321
  • Minette M. S. and Sahn D. J. Ventricular septal defects. Circulation. 2006; 114(20):2190–2197. https://doi.org/10.1161/CIRCULATIONAHA.106.618124
  • Anderson RH, Spicer DE, Giroud JM, Mohun TJ: Tetralogy of Fallot: nosological, morphological, and morphogenetic considerations. Cardiol Young. 2013; 23: 858-866. https://doi.org/10.1017/S1047951113001686
  • Tao K.et al. Perventricular device closure of perimembranous ventricular septal defects in 61 young children: Early and midterm follow-up results. J. Thorac. Cardiovasc. Surg. 2010; 140(4). https://doi.org/10.1016/j.jtcvs.2010.05.013
  • Predescu D., Chaturvedi R. R., Friedberg M. K., Benson L. N., Ozawa A., and Lee K. J. Complete heart block associated with device closure of perimembranous ventricular septal defects. J. Thorac. Cardiovasc. Surg. 2008; 136(5). https://doi.org/10.1016/j.jtcvs.2008.02.037
  • Mijangos-Vázquez R.et al. Transcatheter Closure of Perimembranous Ventricular Septal Defects Using Different Generations of Amplatzer Devices: Multicenter Experience. J. Interv. Cardiol. 2020. https://doi.org/10.1155/2020/8948249
  • Yang J.et al. Transcatheter versus surgical closure of perimembranous ventricular septal defects in children: A randomized controlled trial. J. Am. Coll. Cardiol. 2014; 63(12). https://doi.org/10.1016/j.jacc.2014.01.008
  • Lock J, Block P, McKay R, et al: Transcatheter closure of ventricular septal defects. Circulation. 1988;78(2):361– 368. https://doi.org/10.1161/01.cir.78.2.361
  • Pedra CA, Pedra SR, Esteves CA, et al. Percutaneous closure of perimembranous ventricular septal defects with the Amplatzer device: Technical and morphological considerations. Catheter Cardiovasc Interv. 2004;61 (3):403–410. https://doi.org/10.1002/ccd.10797
  • Fu YC: Transcatheter device closure of muscuthe lar ventricular septal defect. Pediatric Neonatol. 2011;52(1):3–4. https://doi.org/10.5144/0256-4947.2020.396
  • Knauth AL, Lock JE, Perry SB, et al: Transcatheter device closure of congenital and postoperative residual ventricular septal defects. Circulation. 2004;110(5):501–507. https://doi.org/10.1161/01.CIR.0000137116.12176.A6
  • Roos-Hesselink J. W. et al. Outcome of patients after surgical closure of ventricular septal defect aa t young age: Longitudinal follow-up of 22-34 years. Eur. Heart J. 2004; 25(12). https://doi.org/10.1016/j.ehj.2004.04.012
  • Lu W.et al. Minimally-invasive-perventricular-device-occlusion versus surgical-closure for treating perimembranous-ventricular-septal-defect: 3-year outcomes of a multicenter randomized clinical trial. J. Thorac. Dis. 2021; 13(4). https://doi.org/10.21037/jtd-20-3298
  • Zhao L. J., Han B., Zhang J. J., Yi Y. C., Jiang D. D., and Lyu J. L. Postprocedural outcomes and risk factors for arrhythmias following transcatheter closure of congenital perimembranous ventricular septal defect: A single-center retrospective study. Chin. Med. J. (Engl). 2017; 130(5). https://doi.org/10.4103/0366-6999.200551
  • Fishberger SB, Bridges ND, Keane JF, et al: Intraoperative device closure of ventricular septal defects. Circulation. 1993;88 (5 Pt 2): II205–II209. PMID: 8222155
  • Amin Z, Berry JM, Foker JE, et al: Intraoperative closure othe f muscular ventricular septal defect in a canine model and application of the technique in a baby. J Thorac Cardiovasc Surg. 1998;115(6):1374–1376. https://doi.org/10.1016/S0022-5223(98)70222-3
  • Bacha EA, Cao QL, Starr JP, et al: Perventricular device closure of muscular ventricular septal defects on the beating heart: Technique and results. J Thorac Cardiovasc Surg. 2003;126(6):1718–1723. https://doi.org/10.1016/s0022-5223(03)01043-2
  • Xing Q.et al. Minimally invasive perventricular device closure of perimembranous ventricular septal defect without cardiopulmonary bypass: Multicenter experience and mid-term follow-up. J. Thorac. Cardiovasc. Surg. 2010; 139(6). https://doi.org/10.1016/j.jtcvs.2010.01.018
  • Xing Q., Wu Q., Pan S., Ren Y., and Wan H. Transthoracic device closure of ventricular septal defects without cardiopulmonary bypass: Experience in infants weighting less than 8kg. Eur. J. Cardio-thoracic Surg. 2011; 40(3). https://doi.org/10.1016/j.ejcts.2010.12.026
  • Liu JC, Zhang JZ, Li Q, et al: Is left ventriculotomy feasible for muscular ventricular septal. Heart Surg Forum. 2008;11(2):E78–E81. https://doi.org/10.1532/HSF98.20071202
  • Wollenek G, Wyse R, Sullivan I, et al: Closure of muscular ventricular septal defects through a left ventriculotomy. Eur J Cardiothorac Surg. 1996;10:595–598. https://doi.org/10.1016/s1010-7940(96)80371-x
  • Gan C, An Q, Lin K, et al: Perventricular device closure of ventricular septal defects: Six months results in 30 young children. Ann Thorac Surg. 2008;86(1):142–146. https://doi.org/10.1016/j.athoracsur.2008.03.058
  • Hanna B, Colan SD, Bridges ND, et al: Clinical and myocardial status after left ventriculotomy for ventricular septal defect closure. J Am Coll Cardiol. 1991;17(2s1):A110 https://doi.org/10.1016/j.ihj.2018.01.017
  • Thakkar B, Patel N, Shah S, et al: Perventricular device closure of isolated muscthe ular ventricular septal defect in infants: A single centre excenterce. Indian Heart J. 2012;64(6):559–567. https://doi.org/10.1016/j.ihj.2012.09.006
  • Shin HJ, Jhang WK, Park JJ, et al: Left ventricular function after left ventriculotomy for surgical treatment of multiple muscular ventricular septal defects. Annals Thoracic Surg. 2011;92(4):1490–1493. https://doi.org/10.1016/j.athoracsur.2011.04.026
  • Li G, Wang Q, Liu YL, et al: Surgical closure of apical multiple muscular septal defects via right ventriculotomy using a single patch with intermediate fixings. Chin Med J. 2013;126(15):2866–2870. PMID: 23924457
  • Stellin G, Padalino M, Milanesi O, et al. Surgical closure of apical ventricular septal defects through a right ventricular apical infundibulotomy. Ann Thorac Surg. 2000;69(2):597–601. https://doi.org/10.1016/s0003-4975(99)01333-8
  • Myhre U, Duncan BW, Mee RBB, et al: Apical right ventriculotomy for closure of apical ventricular septal defects. Ann Thorac Surg. 2004;78(1):204–208. https://doi.org/10.1016/j.athoracsur.2003.12.054
  • Pedra CA, Pedra SR, Chaccur P, et al: Perventricular device closure of congenital muscular ventricular septal defects. Exp Rev Cardiovasc Ther. 2010;8(5):663–674. https://doi.org/10.1586/erc.10.31
  • Kumar K, Lock JE, Geva T: Apical muscular ventricular septal defects between the left ventricle and the right ventricular infundibulum diagnostic and interventional considerations. Circulation. 1997;95(5):1207–1213. https://doi.org/10.1161/01.CIR.95.5.1207
  • Heiberg J., Ringgaard S., Schmidt M. R., Redington A., and Hjortdal V. E. Structural and functional alterations of the right ventricle are common in adults operated for ventricular septal defect as toddlers. Eur. Heart J. Cardiovasc. Imaging. 2015; 16(5). https://doi.org/10.1093/ehjci/jeu292
  • Yin S., Zhu D., Lin K., and An Q. Perventricular device closure of congenital ventricular septal defects. Journal of Cardiac Surgery. 2014; 29(3). https://doi.org/10.1111/jocs.12334
  • Pan S, Xing Q, Cao Q, et al: Perventricular device closure of doubly committed subarterial ventral septal defect through left anterior minithoracmini-thoracotomyg hearts. Ann Thorac Surg. 2012;94(6):2070–2075. https://doi.org/10.1016/j.athoracsur.2012.05.070
  • Fouilloux V, Bonello B, Gran C, et al: Perventricular closure of muscular ventricular septal defects in infants with echocardiographic guidance only. World J Pediatr Congenit Heart Surg. 2012;3(4):446–451. https://doi.org/10.1177/2150135112447958
  • Wang S, Zhuang Z, Zhang H, et al: Perventricular closure of perimembranous ventricular septal defects using the concentric occluder device. Pediatr Cardiol. 2013;35(4):580–586, https://doi.org/10.1007/s00246-013-0823-0
  • Liu L, Zhao TL, Yang YF, et al: Intraoperative device closure of subaortic ventricular septal defects. J Cardiac Surg. 2013;28(4):456–460. https://doi.org/10.1111/jocs.12134
  • Voitov A, Omelchenko A, Gorbatykh Y, Zaitsev G, Arkhipov A, Soynov I, et al. Outcomes of perventricular off-pump versus conventional closure of ventricular septal defects: a prospective randomized study. Eur J Cardiothorac Surg. 2017;51:980–6. https://doi.org/10.1093/ejcts/ezx002
  • Fang GH, Chen Q, Hong ZN, Lin ZW, Zhang GC, Cao H, et al. The comparison of Perventricular device closure with Transcatheter device closure and the surgical repair via median Sternotomy for Perimembranous ventricular Septal defect. Ann Thorac Cardiovasc Surg. 2018;24:308–14. https://doi.org/10.5761/atcs.oa.18-00085
  • Dongxu Li, Xu Zhou, Mengsi Li, Qi An. Comparisons of perventricular device closure, conventional surgical repair, and transcatheter device closure in patients with perimembranous ventricular septal defects: a network meta-analysis. BMC Surgery. 2020; 20:115. https://doi.org/10.1186/s12893-020-00777-w