Ventricular Septal Defect Device Closure

Sadeghian, Hakimeh; Savand-Roomi, Zahra

doi:10.1007/978-3-319-12934-1_54

Cited by 1 publication

(2 citation statements)

References 2 publications

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“… 6 Of all the variables considered for device selection, the location, morphology, as well as length and thickness of the edges of the defect are the most important ones. 7 In our centre, both angiography and TEE were used. Notably, TEE emerged as superior in measuring the defect size, as evidenced by the unexpected discovery of an oval-shaped VSD with diameters of 18 × 6 mm using 3D TEE.…”

Section: Discussionmentioning

confidence: 99%

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The paramount of three-dimensional echocardiography in percutaneous closure of large oval perimembranous ventricular septal defect: a case report

Siagian,

Kurniawati

2024

European Heart Journal - Case Reports

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Background Ventricular Septal Defect (VSD) is the most common type of congenital heart abnormality with perimembranous VSD accounting for around 70% of all VSD. Nowadays, transcatheter closure is the first choice for suitable pmVSD. However, there was no report about closing the large oval shaped VSD percutaneusly. Case summary A 34-year-old male with known VSD was referred for transcatheter closure after failed attempts in other hospital. Patient had been diagnosed with VSD at a young age, but he was lost to follow-up. He presented with shortness of breath due to heart failure and pulmonary hypertension. The initial measurement of the defect was 6-7 mm by TTE, TEE and LV angiography. However, re-measurement using TEE and 3D echocardiography revealed that the VSD is oval with diameters of 18 mm x 6 mm. Initially, device No. 12/14 was used, but it was dislodged on twice attempts. The operator then decided to upsize the device size to No. 16/18 which was successful. The patient's condition was good and 6 months follow-up after the procedure showed good outcomes without any residual defect nor arrythmia. Discussion In this study, we would like to highlight the rarety of large oval VSD that almost failed to be closed with the conventional mesurement with echocardiography and fluoroscopy. TEE especially 3D can be the new modality of choice which might be superior to fluoroscopy to decide the right device size in some cases such as oval shaped VSD.

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Section: Discussionmentioning

confidence: 99%

“…Generally, the selected device is 1–2 mm larger than the maximal diameter of the defect as assessed by TEE and angiography. 7 Initial attempts with an occluder No. 12/14 were unsuccessful, leading to device dislodgment.…”

Section: Discussionmentioning

confidence: 99%

The paramount of three-dimensional echocardiography in percutaneous closure of large oval perimembranous ventricular septal defect: a case report

Siagian,

Kurniawati

2024

European Heart Journal - Case Reports

View full text Add to dashboard Cite

show abstract

Ventricular Septal Defect Device Closure

Cited by 1 publication

References 2 publications

The paramount of three-dimensional echocardiography in percutaneous closure of large oval perimembranous ventricular septal defect: a case report

The paramount of three-dimensional echocardiography in percutaneous closure of large oval perimembranous ventricular septal defect: a case report

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