Percutaneous closure of a congenital VSD is safe and effective method of treatment, which has increasingly been considered, after much work and progress in technology have taken place in this area. Ventricular septal defects make up the majority, 40% of all congenital cardiac defects. Cases exhibit a wide clinical spectrum ranging from asymptomatic presentation to full blown congestive heart failure, depending on the size of the defect. There might even occur a spontaneous closure depending on the size and the location of the defect. As our female patient has refused the surgical treatment for a long time, a percutaneous approach was offered to her. Upon consent to the procedure, and after further diagnostic testing, a percutaneous closure was performed for the first time in our clinic
