Evidence map›Paper›PMID 40295344›Full record

ArticlePediatric cardiology2026

Modified Arteriovenous Loop Technique for Successful Antegrade Device Closure of Perimembranous Ventricular Septal Defects with Aortic Valve Prolapse-A Single-Center Experience.

Muthukumaran Chinnasamy Sivaprakasam, Rajaguru Ganesan, S Ramkishore, A Saranya, Haritha Girija, V Arun, V Mahitha, Neville Solomon, V Swaminathan, D Giriwar

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Article in Pediatric cardiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Muthukumaran Chinnasamy SivaprakasamDepartment of Pediatric Cardiology, Apollo Children's Hospital, Thousand Lights, Chennai, Tamilnadu, 600006, India. ach.paedcardio@gmail.com.
Rajaguru GanesanDepartment of Pediatric Cardiology, Apollo Children's Hospital, Thousand Lights, Chennai, Tamilnadu, 600006, India.
S RamkishoreDepartment of Pediatric Cardiology, Apollo Children's Hospital, Thousand Lights, Chennai, Tamilnadu, 600006, India.
A SaranyaDepartment of Pediatric Cardiology, Apollo Children's Hospital, Thousand Lights, Chennai, Tamilnadu, 600006, India.
Haritha GirijaDepartment of Pediatric Cardiology, Apollo Children's Hospital, Thousand Lights, Chennai, Tamilnadu, 600006, India.
V ArunDepartment of Pediatric Cardiology, Apollo Children's Hospital, Thousand Lights, Chennai, Tamilnadu, 600006, India.
V MahithaDepartment of Pediatric Cardiology, Apollo Children's Hospital, Thousand Lights, Chennai, Tamilnadu, 600006, India.
Neville SolomonDepartment of Cardiothoracic Surgery, Apollo Children's Hospital, Chennai, Tamilnadu, India.
V SwaminathanDepartment of Cardiothoracic Surgery, Apollo Children's Hospital, Chennai, Tamilnadu, India.
D GiriwarDepartment of Cardiothoracic Surgery, Apollo Children's Hospital, Chennai, Tamilnadu, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In ventricular septal defects (VSDs) close to aortic valve, mostly surgical closure is preferred. Currently, transcatheter method of device closure is done in selective cases with satisfactory results. Perimembranous with outflow extension VSDs having mild aortic valve prolapse with trivial to mild aortic regurgitation (AR) were selected. VSD devices were deployed through antegrade route with our modification of standard arteriovenous (A-V) loop technique to prevent aortic valve compression and progression of AR. Among 55 cases of perimembranous VSDs having outlet extension with aortic valve prolapse, 44 (80%) cases had successful closure with our modified technique and 11 (20%) underwent surgical closure as device closure was not amenable. At 1 year follow-up, the VSD closure rate was 91% with trivial and mild AR persisting in 24.4% and 5% of cases, respectively. Satisfactory closure of VSDs close to aortic valve is possible with our modified A-V loop technique.

Indexed as

Aortic Valve ProlapseCardiac CatheterizationCardiac Surgical ProceduresHeart Septal Defects, VentricularSeptal Occluder DeviceAdolescentAortic Valve InsufficiencyChildChild, PreschoolFemaleFollow-Up StudiesHumansInfantMaleRetrospective StudiesTreatment OutcomeAntegrade closureAortic regurgitationArteriovenous loopVSD device

Identifiers

PMID40295344

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.