Amit Mishra
U. N. Mehta Institute of Cardiology and Research Center, India
Title: A simple surgical technique for closure of apical muscular VSD closure using polytetrafluoroethylene device
Biography
Biography: Amit Mishra
Abstract
Objective Ventricular septal defect is among the commonest congenital heart diseases encountered in pediatric cardiac patients. Apical muscular ventricular septal defect constitutes nearly 2% of defects, which may or may not be associated with other congenital heart defect. The purpose of our presentation is to present our innovative and simple surgical technique using custom made low profile polytetrafluoroethylene (PTFE) single disc device for closing multiple apical muscular and isolated apical muscular ventricular septal defects and to present the possibility of its commercial use. Method Between January 2010 and Dec 2014, thirty two patients with isolated or multiple apical muscular ventricular septal defects with or without associated heart diseases were operated at our institute. The apical VSD was closed using our custom made low profile single disc Polytetrafluoroethylene device. The operative technique and the technique used to prepare the single disc device will be presented in the conference. Conclusion Our custom-made device can be tailored and prepared in-house in 10 minutes. Finally, the cost of our single disc device is $100, whereas the cost of a commercially available device is nearly $1300. The use of our device would therefore drastically bring down the expense of the total procedure and make it significantly more affordable for patients of lower economic strata. The technique described by us has the advantage of apical VSD closure through left ventricle without left ventriculotomy. Our technique is simple and cost effective.