{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T01:41:56Z","timestamp":1784770916350,"version":"3.55.0"},"reference-count":31,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2022,6,30]],"date-time":"2022-06-30T00:00:00Z","timestamp":1656547200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Cardiac Surgery"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>We aim to evaluate our experience with interventional closure of Gerbode\u2010type perimembranous ventricular septal defects (pmVSDs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed three\u2010center retrospective data review of patients with congenital indirect Gerbode\u2010type pmVSDs treated percutaneously between August 2017 and May 2021. Standard safety and latest follow\u2010up outcomes were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Ten patients (six females) were identified with a median age of 6.8 years (range: 2.5\u201354) and a median weight of 26.5\u2009kg (range: 12\u201388). The median left ventricular defect size was 10\u2009mm (range: 3\u201315.5). On baseline ultrasound, 6 patients had absent subaortic rim\u2009, 6 patients had trivial aortic regurgitation, and 3 patients had tear\u2010drop\u2010type (small) aortic cusp prolapse. The tricuspid regurgitation was graded II (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20095)\u00a0and III (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20095). Five Lifetech Konar\u2010Multifunctional occluders, four Amplatzer duct occluders II and one Amplatzer duct occluder I were implanted. The median fluoroscopy time was 10.4\u2009min (range: 4.3\u201320.2). Pre\u2010existing aortic regurgitations remained identical. One new aortic regurgitation was identified before discharge and remained trivial after 48 months of follow\u2010up. No heart block or tricuspid stenosis was observed on a median follow\u2010up of 17 months (range: 3\u201348). All patients are symptom\u2010free with complete shunt closure and significant regression or resolution of tricuspid regurgitation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Despite anatomical challenges, interventional closure of congenital indirect Gerbode\u2010type pmVSD appears to be feasible, safe, and most importantly clinically effective using different commercially available devices. Amplatzer duct occluder II and Lifetech Konar\u2010Multifunctional occluder offer interesting specifications to retrogradely target this specific defect with success.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocs.16713","type":"journal-article","created":{"date-parts":[[2022,6,30]],"date-time":"2022-06-30T11:06:38Z","timestamp":1656587198000},"page":"2714-2724","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Three centers experience with device closure of congenital Gerbode\u2010type perimembranous ventricular septal defects"],"prefix":"10.1155","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7605-4708","authenticated-orcid":false,"given":"Raymond N.","family":"Haddad","sequence":"first","affiliation":[{"name":"Department of Pediatric Cardiology, Hotel Dieu de France University Medical Center Saint Joseph University Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Younes","family":"Boudjemline","sequence":"additional","affiliation":[{"name":"Sidra Heart Center, Sidra Medicine Weill Cornell Medicine Doha Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Combes","sequence":"additional","affiliation":[{"name":"Pediatric and Adult Congenital Heart Disease Department Clinique Pasteur Toulouse France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5544-8046","authenticated-orcid":false,"given":"Khaled","family":"Hadeed","sequence":"additional","affiliation":[{"name":"Pediatric Cardiology Unit, Department of Pediatrics, Children's Hospital Toulouse University Hospital Toulouse France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3303-5854","authenticated-orcid":false,"given":"Clement","family":"Karsenty","sequence":"additional","affiliation":[{"name":"Pediatric Cardiology Unit, Department of Pediatrics, Children's Hospital Toulouse University Hospital Toulouse France"},{"name":"Institut Des Maladies M\u00e9taboliques Et Cardiovasculaires Universit\u00e9 de Toulouse Toulouse France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8658-2686","authenticated-orcid":false,"given":"Zakhia","family":"Saliba","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, Hotel Dieu de France University Medical Center Saint Joseph University Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,6,30]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-195809000-00012"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(67)90476-6"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(99)01270-9"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.49.2.375"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.55.1.45"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0167-5273(94)90177-5"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1067\/mje.2002.116335"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2010.04.027"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsha.2017.01.006"},{"issue":"5","key":"e_1_2_9_11_1","first-page":"357","article-title":"A systematic review of acquired left ventricle to right atrium shunts (Gerbode defects)","volume":"56","author":"Yuan SM","year":"2015","journal-title":"Hellenic J Cardiol"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2014.01.008"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.26097"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euje.2006.07.014"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2019.00300"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.28678"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/0007-0971(72)90010-1"},{"issue":"3","key":"e_1_2_9_18_1","first-page":"185","article-title":"Left ventricular to right atrial shunt (Gerbode defect): congenital versus acquired","volume":"10","author":"Yuan SM","year":"2014","journal-title":"Postepy Kardiol Interwencyjnej"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11886-018-1038-z"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10554-015-0620-3"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.20896"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-015-1170-0"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.26020"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ihj.2017.01.011"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.4330\/wjc.v9.i7.634"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951120002401"},{"issue":"1","key":"e_1_2_9_27_1","first-page":"65","article-title":"Percutaneous closure of ventricular septal defects in children: key parameters affecting patient radiation exposure","volume":"11","author":"Haddad RN","year":"2021","journal-title":"Am J Cardiovasc Dis"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2012.01.015"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.24917"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951121001980"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.27177"},{"issue":"4","key":"e_1_2_9_32_1","first-page":"1195","article-title":"Complex ventricular septal defects. Update on percutaneous closure","volume":"57","author":"Cintez\u0103 EE","year":"2016","journal-title":"Rom J Morphol Embryol"}],"container-title":["Journal of Cardiac Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocs.16713","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jocs.16713","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocs.16713","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T14:03:50Z","timestamp":1762524230000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocs.16713"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,30]]},"references-count":31,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2022,9]]}},"alternative-id":["10.1111\/jocs.16713"],"URL":"https:\/\/doi.org\/10.1111\/jocs.16713","archive":["Portico"],"relation":{},"ISSN":["0886-0440"],"issn-type":[{"value":"0886-0440","type":"print"}],"subject":[],"published":{"date-parts":[[2022,6,30]]},"assertion":[{"value":"2022-04-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-05-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-06-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}