A planned combined perventricular and “open heart” surgical closure of multiple ventricular septal defects had to be modified intraoperatively due to a technical fault disabling echocardiographic guidance. Through an atriotomy, device closure of a muscular defect and patch closure of a perimembranous ventricular septal defect were performed. In unusual situations, collaboration of the surgical and interventional team is crucial.

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doi.org/10.1177/2150135118768724, hdl.handle.net/1765/130271
World Journal for Pediatric and Congenital Hearth Surgery
Pediatric Cardiology

Krasemann, T., van Beynum, I., & van de Woestijne, P. (2020). Unusual Hybrid Closure of Ventricular Septal Defects. World Journal for Pediatric and Congenital Hearth Surgery, 11(4), NP158–NP160. doi:10.1177/2150135118768724