A large perimembranous ventricular septal defect: challenging transcatheter device closure
Asit Das1, Nur Nabab Mollah1, Gaurav Lakhani1
1Department of Cardiology, Institute of Post graduate Medical Education and Research, Kolkata, India.
Cardiology in the Young
|July 30, 2025
Abstract:
Transcatheter device closure of a large perimembranous ventricular septal defect with left-to-right shunt was attempted with an antegrade transvenous approach and a conventional arteriovenous loop facilitated, both of which were unsuccessful. We succeeded with an indigenous technique of advancing the delivery sheath towards the left ventricular apex from the venous side with the help of a cut pigtail, keeping the arteriovenous loop.
