title: [Percutaneous closure of ductus arteriosus and muscular ventricular defect with amplatzer occluder in a patient with severe pulmonary hypertension].
abstract: Surgical treatment of multiple muscular ventricular septal defects with associated lesions and severe pulmonary hypertension has a high morbility and mortality. Closure of these defects by the Amplatzer muscular VSD occluder is an alternative to surgery, avoiding the need of cardiopulmonary bypass. We present the case of a 38 year-old woman with signs of heart failure in NYHA functional class IV, with two muscular ventricular septal defects, patent ductus arteriosus and severe pulmonary hypertension, that were treated with three Amplatzer muscular VSD occluders, with significant reduction of pulmonary pressure and functional class improvement.
authors.affiliation: Instituto Nacional de Cardiología lgnacio Chávez, México. pepegamon@yahoo.com
authors.forename: José Antonio
authors.initials: JA
authors.lastname: García-Montes
authors.forename: Carlos
authors.initials: C
authors.lastname: Zabal Cerdeira
authors.forename: Juan
authors.initials: J
authors.lastname: Calderón-Colmenero
authors.forename: Nilda
authors.initials: N
authors.lastname: Espínola
authors.forename: Guillermo
authors.initials: G
authors.lastname: Fernández de la Reguera
authors.forename: Alfonso
authors.initials: A
authors.lastname: Buendía Hernández
mesh_terms: D000328:Adult; D001027:Aortography; D004374:Ductus Arteriosus, Patent / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications*; D019736:Prostheses and Implants; D019919:Prosthesis Implantation; D013997:Time Factors; D016896:Treatment Outcome