title: Percutaneous Closure of Perimembranous Ventricular Septal Defect with Amplatzer Device.
abstract: BACKGROUND
  The Amplatzer perimembranous ventricular septal occluder is an innovative device for percutaneous closure of perimembranous ventricular septal defects (PMVSD). In appropriately selected cases this procedure is safe and effective.
  
  
  METHODS
  Fourteen patients with the mean age 10.53 years (range 18 months to 55 years) and mean body weight 20.64 kg (range 6 to 52 kg) underwent PMVSD closure.
  
  
  RESULTS
  The PMVSD mean diameter was 5.28 mm (range from 4 to 9 mm). Implantation was successful in 92% of the cases and all patients had complete occlusion of the shunt within three months.
  
  
  CONCLUSIONS
  Device orientation was excellent in all cases. Device-related aortic insufficiency, tricuspid insufficiency or left ventricular dysfunction was not observed. One patient had embolisation of the device and another had complete heart block which required a permanent pacemaker implantation. The excellent short term results need to be confirmed over long-term follow-up.
authors.affiliation: Senior Advisor (Medicine & Cardiology), MH (CTC), Pune.
authors.forename: P
authors.initials: P
authors.lastname: Bharadwaj
authors.affiliation: Senior Advisor (Medicine & Cardiology), MH (CTC), Pune.
authors.forename: A
authors.initials: A
authors.lastname: Banerji
authors.affiliation: Senior Advisor (Medicine & Cardiology), MH (CTC), Pune.
authors.forename: R
authors.initials: R
authors.lastname: Datta
authors.affiliation: Senior Advisor (Medicine & Cardiology), 166 MH, C/O 56 APO.
authors.forename: H
authors.initials: H
authors.lastname: Singh
authors.affiliation: Classified Specialist (Medicine) & Cardiologist, CH (CC), Lucknow.
authors.forename: A K
authors.initials: AK
authors.lastname: Ghosh
authors.affiliation: Classified Specialist (Medicine & Resident Cardiology), MH (CTC), Pune.
authors.forename: G
authors.initials: G
authors.lastname: Keshavamurthy
keywords: Arrhythmias, Percutaneous closure; Perimembranous ventricular septal defect