3 research outputs found
Simultaneous Transcatheter Closure of Ventricular Septal Defect and Pulmonary Valvuloplasty
Background: Transcatheter balloon valvuloplasty has been the accepted
first line treatment for congenital pulmonic stenosis (PS) in children.
Transcatheter closure of perimembranous ventricular septal defect (VSD)
with Amplatzer VSD occluder is an alternative to surgical repair. Case
Presentation: A 12 year old boy presented with history of exertional
dyspnea and atypical chest pain. Physical findings were suggestive of
severe pulmonic stenosis. Transthoracic echocardiography, right and
left ventricular angiography showed medium to large sized
perimembranous VSD and severe valvar pulmonary stenosis. Transcatheter
closure of VSD was done first so as to avoid large left to right shunt
across VSD after balloon pulmonary valvuplasty. Conclusion: We
demonstrated the feasibility and success in treating combined
ventricular septal defect and severe pulmonary valve stenosis with
transcatheter interventional procedure in the same session