Assessment of Residual Shunting Following Surgical or Trans Catheter Device Closure of Perimemberanous Ventricular Septal Defects in Children

Abstract

Background: Surgical repair for the VSD has been the golden standard treatment. With the development of various device, trans catheter device closure of VSD has gradually become an alternative to conventional surgical repair, especially in patients with perimembranous defects with a promising success rate of closure. Objective: Assess the incidence of complete heart block following trans catheter device closure in comparison to surgical closure of pm ventricular septal defects in children. Methodology: This study is a retrospective study conducted on 200 pediatric patients post isolated pm VSD closure (100 post-surgical cases, 100 post catheter case). Results: Our study revealed that  4%(n=4) with CAVB and permanent   pacemaker among the surgical cases in opposite to none of the catheter group.. Blood transfusion, length of hospital stay was significantly more among the surgical cases. We have no mortality in both groups. Conclusion: Our study suggests that there is no significant difference between percutaneous and surgical closure of pmVSDs in terms of early (up to 30 days) efficacy and safety in well-selected patients. Furthermore, percutaneous closure is associated with decreased hospital stay, which could potentially be cost saving.