Transcatheter Closure of Multiple Perimembranous Ventricular Septal Defects With Septal Aneurysm Using Two Overlapping Amplatzer Duct Occluders II

Devendran, Vimalarani; Koneti, Nageswara Rao; Jesudian, Vimala
December 2013
Pediatric Cardiology;Dec2013, Vol. 34 Issue 8, p1963
Academic Journal
Case Study
Ventricular septal defect (VSD) is a common congenital heart defect in children. Perimembranous VSD (Pm VSD), a defect involving the membranous septum and the adjacent portion of the muscular septum, accounts for about 70 % of cases. Transcatheter closure of Pm VSDs using the Amplatzer Pm VSD device, although successful in many patients, has been associated with major adverse events. Complete heart block, thromboembolism, and new-onset valvular regurgitations in patients undergoing VSD closure using the Pm VSD occluder have been reported [ 3 ]. Recently, a new retrograde approach for transcatheter closure of Pm VSDs using the Amplatzer Duct Occluder II (ADO II) has been described with a 90 % success rate [ 1 ]. This report describes a child who had multiple Pm VSDs with septal aneurysm undergoing successful transcatheter closure using two ADO II occluders with relative ease.


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