Transcatheter Closure of a Traumatic VSD with an ASD Occluder

Santos, Rui Pontes dos; Guedes, Henrique; Marqués, L. Pons; Lourenço, Carolina; Silva, João Carlos; Pinto, Paula

doi:10.5935/abc.20180122

Cited by 2 publications

(2 citation statements)

References 3 publications

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“…It is challenging to complete the closure process for a patient who has a defect adjacent to the apex since the insertion of the occluder necessitates the catheter bevel. Hemolysis that is brief and self-contained has been demonstrated by ( 8 ) Santos et al (2018). Both perimembranous and muscular VSD that were treated with Amplatzer Septal Occluder (AGA) had a lower risk of total AV block ( 9 ); however, in our instance, some PVC storms and severe bradycardia transiently occurred after the defect closure.…”

Section: Discussionmentioning

confidence: 92%

Transesophageal echocardiography-guided percutaneous closure of multiple muscular ventricular septal defects with pulmonary hypertension using single device: A case report

Siagian

Prakoso

Mendel

et al. 2023

Front. Cardiovasc. Med.

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BackgroundSurgery is typically used to correct challenging ventricular septal defects (VSDs), such as VSD with pulmonary hypertension and multiple defects. In this case report, we would like to highlight the feasibility of multiple defects VSD closure with single device percutaneously using zero-fluoroscopy technique.Case presentationA 7-year-old child was referred with the main symptom of shortness of breath. She started experiencing repeated respiratory tract infections, feeding issues, and failure to thrive at the age of six months. Her body weight was only 18 kg. TEE revealed several muscular VSD with 2–3 mm and 12 mm diameters, 3 mm spacing between VSD, L to R shunt, AR (-), and TR mild with septal leaflet tricuspid prolapse. Following right heart catheterization (Qp:Qs 3.5, PVRi 5.23WUmsq, PVR 4.55 WU, PVR/SVR 0.16), we made the decision to correct the defect using an Amplatzer Septal Occluder (AGA) No. 16 mm using transjugular method. Full device deployment was successfully performed with several episodes of PVC storm and severe bradycardia. One and a half years after the procedure, her TVG dropped to only 18 mmHg, her visible indicators of PH subsided, and the PA dilator treatment was discontinued. Her body weight had increased to 28 kg, and she had no complaints.ConclusionsOur experience demonstrated that percutaneous closure of multiple VSD with a single device is possible, even with pulmonary hypertension.

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Section: Discussionmentioning

confidence: 92%

Transesophageal echocardiography-guided percutaneous closure of multiple muscular ventricular septal defects with pulmonary hypertension using single device: A case report

Siagian

Prakoso

Mendel

et al. 2023

Front. Cardiovasc. Med.

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“…2 Percutaneous intervention of traumatic defects in the interventricular septum is an alternative therapeutic option to surgery, 3 and can be performed with various types of prostheses. 4,5 The present report describes a case of hybrid treatment (surgical and percutaneous) of a complex lesion, secondary to penetrating cardiac trauma caused by multiple stabbing, with an initial clinical presentation of cardiac tamponade. This work was approved by the Research Ethics Committee of Hospital das Clínicas of the Faculdade de Medicina of the Universidade de São Paulo (USP), protocol 4.617.454; CAAE 44240821.7.0000.5440.…”

Section: Introductionmentioning

confidence: 98%

Hybrid interventional and surgical treatment of complex traumatic cardiac dagger wounds

Chierice¹,

Figueiredo²,

Lima-Filho³

et al. 2021

J Transcat Intervent

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Penetrating injuries to the heart are usually devastating and few patients survive the initial trauma. The most frequent penetrating injuries are caused by projectile injuries and less commonly by melee weapons. Most of these injuries involve chamber free walls and a small percentage can affect the interventricular septum. We report a case in which an emergency surgical procedure was successful in controlling cardiac tamponade, and repairing a right ventricular laceration caused by multiple stab wounds. Subsequently, a successful interventional occlusion of a large interventricular septal defect, associated with significantly augmented pulmonary flow was performed.

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Transcatheter Closure of a Traumatic VSD with an ASD Occluder

Cited by 2 publications

References 3 publications

Transesophageal echocardiography-guided percutaneous closure of multiple muscular ventricular septal defects with pulmonary hypertension using single device: A case report

Transesophageal echocardiography-guided percutaneous closure of multiple muscular ventricular septal defects with pulmonary hypertension using single device: A case report

Hybrid interventional and surgical treatment of complex traumatic cardiac dagger wounds

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