Transcatheter closure of perimembranous ventricular septal defect in a patient with abnormal inferior vena cava return

An 8-year-old boy with a 3.8 mm perimembranous ventricular septal defect (PmVSD) and abnormal inferior vena cava return was attempted cardiac catheterization to occlude the VSD. Through the right jugular vein and right femoral artery approach, an 8 mm Amplatzer VSD occluder was successfully deployed under fluoroscopic and echocardiographic guidance. After a 2 year follow-up, the patient is symptom-free. Our report offers a new perspective to percutaneous treatment of PmVSD with abnormal inferior vena cava return.