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We describe a hybrid approach with surgical repair of the coarctation via left thoracotomy followed immediately by per-atrial VSD device closure through the same incision, which might decrease morbidity and mortality when compared to a standard open surgical approach.<\/jats:p>","DOI":"10.1177\/21501351261472482","type":"journal-article","created":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T14:07:41Z","timestamp":1789135661000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Hybrid Approach for an Infant with Coarctation of the Aorta and a Hemodynamically Significant Ventricular Septal Defect"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4185-6695","authenticated-orcid":false,"given":"Sudesh","family":"Prabhu","sequence":"first","affiliation":[{"name":"Narayana Institute of Cardiac Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shreesha","family":"Maiya","sequence":"additional","affiliation":[{"name":"Narayana Institute of Cardiac Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satheesh","family":"Siddaiah","sequence":"additional","affiliation":[{"name":"Narayana Institute of Cardiac Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keshava","family":"Murthy","sequence":"additional","affiliation":[{"name":"Narayana Institute of Cardiac Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Preethi","sequence":"additional","affiliation":[{"name":"Narayana Institute of Cardiac Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8684-405X","authenticated-orcid":false,"given":"Tom R.","family":"Karl","sequence":"additional","affiliation":[{"name":"University of Queensland"},{"name":"Gift of Life International, Ney York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,11]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"1415","volume-title":"Kirklin \/ Barratt-Boyes Cardiac Surgery","author":"Sandoval N","year":"2026","unstructured":"Sandoval N, Hermann JL. 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