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Percutaneous closure of perimembranous ventricular septal defect associated with a ventricular septal aneurysm using
Christopher A Tan1, Daniel S Levi, John W Moore
1Division of Cardiology, Mattel Children's Hospital at UCLA, David Geffen School of Medicine at UCLA, Los Angeles, California 90095, USA.
Insights
Amplatzer ductal occluders effectively closed perimembranous ventricular septal defects with aneurysms in three patients. This minimally invasive procedure significantly reduced shunting without complications.
Area of Science:
- Cardiology
- Interventional Cardiology
- Pediatric Cardiology
Background:
- Perimembranous ventricular septal defects (VSDs) with associated ventricular septal aneurysm pose unique closure challenges.
- Percutaneous closure offers a less invasive alternative to surgical repair for certain congenital heart defects.
Observation:
- Three patients with perimembranous VSDs and septal aneurysms were treated.
- Amplatzer ductal occluders were utilized for percutaneous device closure.
Findings:
- The Amplatzer ductal occluder was successfully positioned in all three cases.
- A significant reduction in the left-to-right ventricular shunt was observed post-procedure.
- The percutaneous closure was well-tolerated, with no reported complications.
Implications:
- Amplatzer ductal occluders represent a viable option for percutaneous closure of perimembranous VSDs with septal aneurysms.
- This approach may offer a safe and effective alternative to surgery, reducing patient recovery time.
- Further studies can explore long-term outcomes and expand the application of this technique.
Abstract:
Amplatzer ductal occluders were used for percutaneous closure of perimembranous ventricular septal defects with associated ventricular septal aneurysm in three patients. The device was well positioned and the ventricular left-to-right shunt was significantly decreased in all three patients. The procedure was tolerated well without complications in each case.
