title: Transcatheter closure of multiple perimembranous ventricular septal defects with septal aneurysm using two overlapping Amplatzer Duct Occluders II.
abstract: Ventricular septal defect (VSD) is a common congenital heart defect in children. Perimembranous VSD (Pm VSD), a defect involving the membranous septum and the adjacent portion of the muscular septum, accounts for about 70 % of cases. Transcatheter closure of Pm VSDs using the Amplatzer Pm VSD device, although successful in many patients, has been associated with major adverse events. Complete heart block, thromboembolism, and new-onset valvular regurgitations in patients undergoing VSD closure using the Pm VSD occluder have been reported [3]. Recently, a new retrograde approach for transcatheter closure of Pm VSDs using the Amplatzer Duct Occluder II (ADO II) has been described with a 90 % success rate [1]. This report describes a child who had multiple Pm VSDs with septal aneurysm undergoing successful transcatheter closure using two ADO II occluders with relative ease.
authors.affiliation: Institute of Cardiovascular Diseases, The Madras Medical Mission, 4A, Dr. J. J. Nagar, Mogappair, Chennai, 600037, India.
authors.forename: Vimalarani
authors.initials: V
authors.lastname: Devendran
authors.forename: Nageswara Rao
authors.initials: NR
authors.lastname: Koneti
authors.forename: Vimala
authors.initials: V
authors.lastname: Jesudian
mesh_terms: D000015:Abnormalities, Multiple; D000792:Angiography; D006328:Cardiac Catheterization; D006348:Cardiac Surgical Procedures / Q000379:methods*; D002648:Child; D004452:Echocardiography; D006322:Heart Aneurysm / Q000175:diagnosis / Q000601:surgery*; D006345:Heart Septal Defects, Ventricular / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D055989:Septal Occluder Device