Simultaneous transcatheter closure of atrial septal defect, ventricular septal defect, and patent ductus arteriosus

Area of Science:

• Cardiology
• Pediatric Cardiology
• Interventional Cardiology

Background:

• Congenital heart defects require timely intervention to prevent complications like heart failure.
• Multiple coexisting septal defects and patent ductus arteriosus present complex management challenges in pediatric patients.
• Transcatheter closure offers a minimally invasive approach for correcting structural heart abnormalities.

Purpose of the Study:

• To describe the feasibility and outcomes of simultaneous transcatheter closure of secundum atrial septal defect (ASD), perimembranous ventricular septal defect (VSD), and patent ductus arteriosus (PDA).
• To evaluate the efficacy of this combined interventional approach in a pediatric patient presenting with heart failure symptoms.

Main Methods:

• A 3-year-old female patient with symptomatic heart failure underwent simultaneous transcatheter closure procedures.
• Closure devices were deployed to address the secundum ASD, perimembranous VSD, and PDA.
• Post-procedural assessment was performed to evaluate the success of the interventions.

Main Results:

• The simultaneous transcatheter closure of all three defects was technically successful.
• The patient experienced resolution of heart failure symptoms post-procedure.
• A minimal residual VSD was noted, with overall good clinical results.

Conclusions:

• Simultaneous transcatheter closure of secundum ASD, perimembranous VSD, and PDA is a viable and effective strategy in select pediatric patients.
• This approach can successfully manage complex congenital heart disease presentations and alleviate heart failure.
• Minimally invasive multi-defect closure offers a promising alternative to surgical intervention.