{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T16:56:27Z","timestamp":1785344187835,"version":"3.55.0"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2022,6,27]],"date-time":"2022-06-27T00:00:00Z","timestamp":1656288000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,7,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p\/>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>The appropriate approach for surgical repair of coarctation of the aorta with a ventricular septal defect (VSD) remains controversial. This study evaluated the outcomes of primary repair of VSDs with periventricular device closure without cardiopulmonary bypass through a left thoracotomy in patients without arch hypoplasia.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>We selected 21 patients aged &amp;lt;1\u2009year, including 7 neonates, who underwent repair of coarctation of the aorta with periventricular device closure of a VSD.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>The median occluder size was 6 (range, 5\u20138) mm. The median mechanical ventilation time was 14 (range, 2\u201368) h, and the median duration of hospital stay was 11 (range, 7\u201316) days. No reoperations were required to correct VSD shunting, and the median residual shunt size was 1 (range, 1\u20132) mm. The median follow-up period was 13 (range, 4\u201331) months. No late deaths were reported, and no haemodynamically significant pressure gradient at the anastomotic site was observed. The median distal aortic arch z-score was 0.39 (range, \u22120.1\u2013to 0.9). Only 1 patient had a permanent pacemaker implanted towards the end of the follow-up period.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Periventricular device closure can be used safely for closure of VSD in children with coarctation of the aorta without a hypoplastic aortic arch, even in neonates, to reduce the risk of prolonged cardiopulmonary bypass. This hybrid approach can be performed with a low incidence of rhythm disturbances and residual shunting. However, a meticulous assessment of the VSD anatomy is essential to avoid any unfavourable events.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/icvts\/ivac186","type":"journal-article","created":{"date-parts":[[2022,6,27]],"date-time":"2022-06-27T12:36:44Z","timestamp":1656333404000},"source":"Crossref","is-referenced-by-count":4,"title":["Single-stage off-pump repair of coarctation of the aorta and ventricular septal defects in children"],"prefix":"10.1093","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2361-5847","authenticated-orcid":false,"given":"Yuriy Y","family":"Kulyabin","sequence":"first","affiliation":[{"name":"Department of Pediatric Cardiac Surgery, E. Meshalkin National Medical Research Center , Novosibirsk, Russian Federation"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexey V","family":"Voitov","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiac Surgery, E. Meshalkin National Medical Research Center , Novosibirsk, Russian Federation"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nataliya R","family":"Nichay","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiac Surgery, E. Meshalkin National Medical Research Center , Novosibirsk, Russian Federation"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilya A","family":"Soynov","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiac Surgery, E. Meshalkin National Medical Research Center , Novosibirsk, Russian Federation"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexey V","family":"Zubritskiy","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiac Surgery, E. Meshalkin National Medical Research Center , Novosibirsk, Russian Federation"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander V","family":"Bogachev-Prokophiev","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiac Surgery, E. Meshalkin National Medical Research Center , Novosibirsk, Russian Federation"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,6,27]]},"reference":[{"key":"2022071815162529700_ivac186-B1","doi-asserted-by":"crossref","first-page":"897","DOI":"10.1016\/S0022-5223(98)70039-X","article-title":"Single-stage repair of aortic arch obstruction and associated intracardiac defects with pulmonary homograft patch aortoplasty","volume":"116","author":"Tchervenkov","year":"1998","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2022071815162529700_ivac186-B2","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1111\/j.1540-8191.2011.01255.x","article-title":"Outcome of single-stage repair of coarctation with ventricular septal defect","volume":"26","author":"Cho","year":"2011","journal-title":"J Card 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muscular ventricular septal defect in a canine model and application of the technique in a baby","volume":"115","author":"Amin","year":"1998","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2022071815162529700_ivac186-B9","doi-asserted-by":"crossref","first-page":"980","DOI":"10.1093\/ejcts\/ezx002","article-title":"Outcomes of perventricular off-pump versus conventional closure of ventricular septal defects: a prospective randomized study","volume":"51","author":"Voitov","year":"2017","journal-title":"Eur J Cardiothorac Surg"},{"key":"2022071815162529700_ivac186-B10","doi-asserted-by":"crossref","first-page":"344","DOI":"10.21470\/1678-9741-2018-0351","article-title":"A comparative study of perventricular and percutaneous device closure treatments for isolated ventricular septal defect: a Chinese single-institution experience","volume":"34","author":"Huang","year":"2019","journal-title":"Braz J Cardiovasc Surg"},{"key":"2022071815162529700_ivac186-B11","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1093\/icvts\/ivx297","article-title":"Combined perventricular septal defect closure and patent ductus arteriosus ligation via the lower ministernotomy approach","volume":"26","author":"Voitov","year":"2018","journal-title":"Interact CardioVasc Thorac Surg"},{"key":"2022071815162529700_ivac186-B12","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1186\/s13019-018-0815-5","article-title":"Combined perventricular closure of ventricular septal defect and atrial septal defect via lower ministernotomy","volume":"13","author":"Ling","year":"2018","journal-title":"J Cardiothorac Surg"},{"key":"2022071815162529700_ivac186-B13","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1161\/CIRCULATIONAHA.113.003312","article-title":"Neurological injury after neonatal cardiac surgery: a randomized, controlled trial of 2 perfusion 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