Novel method for delivering the Amplatzer muscular VSD occluder in a patient with double outlet right ventricle after bidirectional Glenn procedure and pulmonary artery band.
We report the first use of bilateral femoral venovenous rail creation for the delivery of an Amplatzer Muscular Ventricular Septal Defect Occluder in a patient with a large mid-to-apical muscular ventricular septal defect before Rastelli operation. The presence of a right-sided bidirectional Glenn shunt, a banded main pulmonary artery, and double outlet right ventricle anatomy precluded the use of standard delivery techniques. The patient underwent successful transcatheter device placement followed by Rastelli operation on the following day.
Bocks
Martin L
ML
Division of Pediatric Cardiology, University of Michigan Health System, Ann Arbor, Michigan 48109-5204, USA. mbocks@umich.edu
Armstrong
Aimee K
AK
D000015:Abnormalities, Multiple / Q000000981:diagnostic imaging / Q000601:surgery*; D006328:Cardiac Catheterization / Q000295:instrumentation / Q000379:methods; D004310:Double Outlet Right Ventricle / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D005260:Female; D005268:Femoral Vein; D018610:Heart Bypass, Right; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D007223:Infant; D010166:Palliative Care; D011651:Pulmonary Artery / Q000601:surgery*; D011859:Radiography; D016896:Treatment Outcome