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Ventricular Septal Defect Restricted by an Anterior Tricuspid Leaflet-A Rare Scenario
V M Vishwanath1, Krishna Prasad Gourav1, Arun George1
1Department of Cardiac Anesthesia and Intensive care, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
A rare case of a large peri-membranous ventricular septal defect (PM VSD) in a 13-year-old boy was successfully treated. The VSD was partially closed by the anterior tricuspid leaflet, highlighting anatomical variations in VSD natural history.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Congenital Heart Disease
Background:
- Large peri-membranous ventricular septal defects (PM VSDs) typically present early with heart failure and pulmonary hypertension.
- Delayed presentation of PM VSDs is rare and can result from spontaneous partial closure by adjacent structures, notably the septal tricuspid leaflet (STL).
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