Concurrent transcatheter closure of an apical muscular ventricular septal defect and a patent ductus arteriosus in a child with severe hyperkinetic pulmonary hypertension.
Definitive treatment of congenital apical muscular ventricular septal defect (VSD) with large left-to-right shunt, severe pulmonary hypertension, and major associated lesions such as patent ductus arteriosus (PDA) has so far been possible only by surgery that has significant attendant morbidity and mortality [2]. Transcatheter device closure of both shunt lesions, if feasible, is a potentially simpler and safer alternative to surgery.
Joseph
G
G
Department of Cardiology, Christian Medical College Hospital, Vellore 632 004, South India.
Muthunayagam
J V
JV
Mandalay
A
A
D000015:Abnormalities, Multiple / Q000601:surgery; D006328:Cardiac Catheterization / Q000295:instrumentation; D006348:Cardiac Surgical Procedures / Q000295:instrumentation; D002648:Child; D004374:Ductus Arteriosus, Patent / Q000601:surgery*; D006345:Heart Septal Defects, Ventricular / Q000601:surgery*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000601:surgery*; D008297:Male; D012720:Severity of Illness Index