[Simultaneous transcatheter therapy for ventricular septal defect combined with atrial septal defect].
OBJECTIVE
To access the possibility, methods and efficacy of simultaneous transcatheter therapy for ventricular septal defect ( VSD ) combined with atrial septal defect (ASD).


METHODS
In 68 patients with VSD, four patients ranging from 3 to 24 years old were combined with ASD. The diameters of perimembranous VSD were 2 approximately 10.5 mm, and the diameters of secundum ASD were 4.6 approximately 7 mm under the echocardiography before the operation. Another 4 patients with VSD occluded by left ventriculography: 3 patients were occluded by VSD occluder first, and then occluded by ASD occuder. The other was only occluded by VSD occluder.


RESULTS
All VSD was treated successfully at one time in 4 patients. The diameters of VSD occluder were 4, 8, 10, and 16 mm. ASD was occluded successfully at one time in 3 patients. The diameters of ASD occluder were 8, 10, and 10 mm. The successful rate of the operation was 100%. No complication occurred in the operation and follow-up.


CONCLUSIONS
Simultaneous transcatheter closure for VSD combined with ASD is a safe, feasible and effective therapy.
Li
Chuan-chang
CC
Department of Cardiology, Xiangya Hospital, Central South University, Changsha, China. lichuanchang@sina.com.cn
Hu
Da-jun
DJ
Pu
Xiao-qun
XQ
Zheng
Zhao-fen
ZF
Chen
Xiao-bin
XB
Zou
Tao
T
Yang
Tian-lun
TL
D000015:Abnormalities, Multiple / Q000628:therapy*; D000293:Adolescent; D000328:Adult; D021721:Balloon Occlusion / Q000295:instrumentation / Q000379:methods; D006328:Cardiac Catheterization / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D004452:Echocardiography; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000628:therapy*; D006345:Heart Septal Defects, Ventricular / Q000628:therapy*; D006801:Humans; D008297:Male; D016896:Treatment Outcome