Device closure of ventricular septal defect: Initial experience in Nepal

Authors

  • Chandra Mani Adhikari Shahid Gangalal National Heart Centre, Kathmandu, Nepal https://orcid.org/0000-0001-5811-9977
  • Manish Shrestha Shahid Gangalal National Heart Centre, Kathmandu, Nepal
  • Subash Chandra Shah Shahid Gangalal National Heart Centre, Kathmandu, Nepal
  • Amrit Bogati Shahid Gangalal National Heart Centre, Kathmandu, Nepal
  • Sachin Dhungel Shahid Gangalal National Heart Centre, Kathmandu, Nepal
  • Kiran Prasad Acharya Shahid Gangalal National Heart Centre, Kathmandu, Nepal https://orcid.org/0000-0003-2765-4242
  • Poonam Sharma Shahid Gangalal National Heart Centre, Kathmandu, Nepal
  • Shilpa Aryal Shahid Gangalal National Heart Centre, Kathmandu, Nepal
  • Urmila Shakya Shahid Gangalal National Heart Centre, Kathmandu, Nepal

DOI:

https://doi.org/10.3126/ajms.v10i4.24176

Keywords:

Amplatzer duct occluder I, Amplatzer duct occluder II, Amplatzer muscular VSD occludet occluder I, Ventricular Septal defect

Abstract

Background: Device closure is an attractive alternative in the management of Ventricular Septal defect (VSD).

Aims and Objective: The aim of the study was to access the safety and early outcome of VSD device closure at Shahid Gangalal National Heart Centre, Nepal.

Materials and Methods: The study was single center, retrospective study. All the VSD cases who were attempted for VSD device closure during December 2016 to February 2019 were included. Catheterization laboratory records for VSD type and size, Device type and size were retrospectively reviewed. Hospital records were reviewed for in-hospital complications.   

Results: Sixty-one VSD cases were attempted for device closure. VSD was successfully closed in 55 (90.1%) patients. The mean age of the patient was 11.1 years. Twenty-nine (52.7%) were female and 26 (47.3%) were male. Perimembranous VSD in 49 (89 %) and muscular VSD in 6 (11 %) patients. The size of VSD ranged between 2 and 12mm (Mean 5.4mm). The VSD was closed with Amplatzer duct occluder I, Amplatzer duct occluder II, Amplatzer muscular VSD occluder and Memopart PDA device in 24 (43.7%), 26 (47.3%), 4 (7.2 %) and one patient (1.8%) patients respectively. The postoperative complications were insignicant residual leak across device in 2 (3.6%) patients, mild pericardial effusion in one (1.8%) patient. None of the patient had new onset tricuspid regurgitation, aortic regurgitation and complete heart block. One patient developed Right bundle branch block, one developed Left bundle branch block, one developed Junctional rhythm. There was no mortality.

Conclusion: VSD device closure can be safe and effective if patients are selected properly.

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Author Biographies

Chandra Mani Adhikari, Shahid Gangalal National Heart Centre, Kathmandu, Nepal

Cardiologist, Department of Cardiology

Manish Shrestha, Shahid Gangalal National Heart Centre, Kathmandu, Nepal

Pediatric Cardiologist, Department of Pediatric Cardiology

Subash Chandra Shah, Shahid Gangalal National Heart Centre, Kathmandu, Nepal

Registrar, Department of Pediatric Cardiology

Amrit Bogati, Shahid Gangalal National Heart Centre, Kathmandu, Nepal

Registrar, Department of Cardiology

Sachin Dhungel, Shahid Gangalal National Heart Centre, Kathmandu, Nepal

Registrar, Department of Cardiology

Kiran Prasad Acharya, Shahid Gangalal National Heart Centre, Kathmandu, Nepal

Resident, Department of Cardiology

Poonam Sharma, Shahid Gangalal National Heart Centre, Kathmandu, Nepal

Registrar, Department of Pediatric Cardiology

Shilpa Aryal, Shahid Gangalal National Heart Centre, Kathmandu, Nepal

Registrar, Department of Pediatric Cardiology

Urmila Shakya, Shahid Gangalal National Heart Centre, Kathmandu, Nepal

Consultant Pediatric Cardiologist, Department of Pediatric Cardiology

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Published

2019-06-21

How to Cite

Adhikari, C. M., Shrestha, M., Shah, S. C., Bogati, A., Dhungel, S., Acharya, K. P., Sharma, P., Aryal, S., & Shakya, U. (2019). Device closure of ventricular septal defect: Initial experience in Nepal. Asian Journal of Medical Sciences, 10(4), 23–27. https://doi.org/10.3126/ajms.v10i4.24176

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Section

Original Articles