{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T23:00:30Z","timestamp":1788994830895,"version":"build-2803163510"},"reference-count":8,"publisher":"BMJ","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Heart"],"published-print":{"date-parts":[[1996,10]]},"abstract":"<jats:p>OBJECTIVE: To demonstrate the safety and efficacy of intraoperative apical ventricular septal defect (VSD) closure using a modified Rashkind double umbrella. DESIGN: Descriptive study of all patients in whom intraoperative device closure of apical VSDs was attempted. SETTING: A tertiary referral centre. PATIENTS: Four patients with an apical VSD requiring closure, during the period January 1993 to May 1995. INTERVENTIONS: Intraoperative placement of a modified Rashkind umbrella. RESULTS: Four successful placements resulting in apical VSD closure, as judged by transoesophageal colour flow mapping. Three patients received a 17 mm and one a 12 mm umbrella. Early complete closure was achieved in three patients. There was a small residual leak around the 12 mm device that had resolved at 5 month follow up. There was one early death, which was unrelated to VSD closure. CONCLUSION: Apical ventricular septal defects can be closed safely and effectively with intraoperative use of a modified Rashkind umbrella.<\/jats:p>","DOI":"10.1136\/hrt.76.4.367","type":"journal-article","created":{"date-parts":[[2007,9,18]],"date-time":"2007-09-18T17:46:00Z","timestamp":1190137560000},"page":"367-369","source":"Crossref","is-referenced-by-count":25,"title":["Intraoperative apical ventricular septal defect closure using a modified Rashkind double umbrella."],"prefix":"10.1136","volume":"76","author":[{"given":"R. R.","family":"Chaturvedi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. F.","family":"Shore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Yacoub","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. N.","family":"Redington","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[1996,10,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1016\/S0022-5223(19)34982-7","article-title":"Surgical treatment of isolated multiple ventricular septal defects, logical approach in 130 cases","volume":"103","author":"Serraf, A.; Lacour-Gayet, F.; Bruniaux, J.; Ouakine, R.; Losay, J.; Petit, J.","year":"1992","unstructured":"Serraf A, Lacour-Gayet F, Bruniaux J, Ouakine R, Losay J, Petit J, et al. Surgical treatment of isolated multiple ventricular septal defects, logical approach in 130 cases. J Thorac Cardiovasc Surg 1992;103:437-43.","journal-title":"J Thorac Cardiovasc Surg"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1312","DOI":"10.1056\/NEJM199105093241903","article-title":"Preoperative transcatheter closure of congenital muscular ventricular septal defects","volume":"324","author":"Bridges, N.D.; Perry, S.B.; Keane, J.F.; Goldstein, S.A.N.; Mandell, V.; Mayer, J.E.","year":"1991","unstructured":"Bridges ND, Perry SB, Keane JF, Goldstein SAN, Mandell V, Mayer JE, et al.Preoperative transcatheter closure of congenital muscular ventricular septal defects. N Engl J Med 1991;324:1312-7.","journal-title":"N Engl J Med"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1136\/hrt.72.4.368","article-title":"Primary transcatheter umbrella closure of perimembranous ventricular septal defects","volume":"72","author":"Rigby, M.L.; Redington, A.N.","year":"1994","unstructured":"Rigby ML, Redington AN. Primary transcatheter umbrella closure of perimembranous ventricular septal defects. Br HeartJ 1994;72:368-71.","journal-title":"Br HeartJ"},{"key":"ref_4","first-page":"2","article-title":"Intraoperative device closure of ventricular septal defects","volume":"88","author":"Fishberger, S.B.; Bridges, N.D.; Keane, J.F.; Hanley, F.L.; Jonas, R.A.; Mayer, J.E.","year":"1993","unstructured":"Fishberger SB, Bridges ND, Keane JF, Hanley FL, Jonas RA, Mayer JE, et al. Intraoperative device closure of ventricular septal defects. Circulation 1993;88(part 2):205-9.","journal-title":"Circulation"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"917","DOI":"10.1016\/0002-9149(92)90738-K","article-title":"Front-loading of the double-umbrella device, a new technique for umbrella delivery for closing cardiovascular defects","volume":"70","author":"Perry, S.B.; Lock, J.E.","year":"1992","unstructured":"Perry SB, Lock JE. Front-loading of the double-umbrella device,a new technique for umbrella delivery for closing cardiovascular defects. Am J Cardiol 1992;70:917-20.","journal-title":"Am J Cardiol"},{"key":"ref_6","first-page":"364","article-title":"Umbrella occlusion of persistent arterial duct in children under two years","volume":"72","author":"Gatzoulis, M.; Rigby, M.L.; Redington, A.N.","year":"1994","unstructured":"Gatzoulis M, Rigby ML, Redington AN. Umbrella occlusion of persistent arterial duct in children under two years. BrHeartJ 1994;72:364-7.","journal-title":"BrHeartJ"},{"key":"ref_7","article-title":"Clinical and myocardial status after left ventriculotomy for ventricular septal defect closure (abstract). JAm Coll","author":"Hanna, B.; Colan, S.D.; Bridges, N.D.; Mayer, J.E.; Castenada, A.R.","unstructured":"Hanna B, Colan SD, Bridges ND, Mayer JE, Castenada AR. Clinical and myocardial status after left ventriculotomy for ventricular septal defect closure (abstract). JAm Coll Cardiol 1991;17(suppl): l OA."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1016\/S0022-5223(94)70458-9","article-title":"Surgical treatment of multiple ventricular septal defects using a biologic glue","volume":"107","author":"true","year":"1994","unstructured":"Leca F, Karam J, Vouhe PR, Khoury W, Tamisier D, Bical 0, et al. Surgical treatment of multiple ventricular septal defects using a biologic glue. Y Thorac Cardiovasc Surg 1994;107:96-102.","journal-title":"Y Thorac Cardiovasc Surg"}],"container-title":["Heart"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/hrt.76.4.367","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T07:17:58Z","timestamp":1758352678000},"score":1,"resource":{"primary":{"URL":"https:\/\/heart.bmj.com\/lookup\/doi\/10.1136\/hrt.76.4.367"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1996,10]]},"references-count":8,"journal-issue":{"issue":"4","published-online":{"date-parts":[[1996,10,1]]},"published-print":{"date-parts":[[1996,10]]}},"alternative-id":["10.1136\/hrt.76.4.367"],"URL":"https:\/\/doi.org\/10.1136\/hrt.76.4.367","relation":{},"ISSN":["1355-6037","1468-201X"],"issn-type":[{"value":"1355-6037","type":"print"},{"value":"1468-201X","type":"electronic"}],"subject":[],"published":{"date-parts":[[1996,10]]}}}