title: Simultaneous transcatheter closure of ventricular septal defect and pulmonary valvuloplasty.
abstract: BACKGROUND
  Transcatheter balloon valvuloplasty has been the accepted first line treatment for congenital pulmonic stenosis (PS) in children. Transcatheter closure of perimembranous ventricular septal defect (VSD) with Amplatzer VSD occluder is an alternative to surgical repair.
  
  
  METHODS
  A 12 year old boy presented with history of exertional dyspnea and atypical chest pain. Physical findings were suggestive of severe pulmonic stenosis. Transthoracic echocardiography, right and left ventricular angiography showed medium to large sized perimembranous VSD and severe valvar pulmonary stenosis. Transcatheter closure of VSD was done first so as to avoid large left to right shunt across VSD after balloon pulmonary valvuplasty.
  
  
  CONCLUSIONS
  We demonstrated the feasibility and success in treating combined ventricular septal defect and severe pulmonary valve stenosis with transcatheter interventional procedure in the same session.
authors: Yazd Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
authors: Mostafa Behjati
authors: MB
authors: Ardakani
authors: Mahdi
authors: M
authors: Haddadzadeh
authors: Shahrokh
authors: S
authors: Rajaei
keywords: Balloon Catheterization; Balloon Valvuloplasty; Pulmonary Stenosis; Simultaneous Transcatheter; VSD