title: Device fracture and severe tricuspid regurgitation after percutaneous closure of perimembranous ventricular septal defect: a case report.
abstract: We report a case in which fracture of an Amplatzer perimembranous ventricular septal defect (VSD) device occurred within 1 month after placement. This was associated with severe tricuspid regurgitation. Surgical removal of the device and repair of the tricuspid valve was performed with reasonable outcome. We propose a hypothesis on how this complication might have occurred and how it could be prevented.
authors.affiliation: Pediatric Cardiology, University Hospitals Leuven, Leuven, Belgium. luc.mertens@uzleuven.be
authors.forename: Luc
authors.initials: L
authors.lastname: Mertens
authors.forename: Bart
authors.initials: B
authors.lastname: Meyns
authors.forename: Marc
authors.initials: M
authors.lastname: Gewillig
mesh_terms: D021721:Balloon Occlusion / Q000009:adverse effects* / Q000295:instrumentation*; D002675:Child, Preschool; D017023:Coronary Angiography; D017548:Echocardiography, Transesophageal; D004562:Electrocardiography; D004868:Equipment Failure; D005260:Female; D005471:Fluoroscopy; D006345:Heart Septal Defects, Ventricular / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D014262:Tricuspid Valve Insufficiency / Q000209:etiology* / Q000601:surgery*