Epicardial deployment of right ventricular disk during perventricular device closure in a child with apical muscular ventricular septal defect

Autor: Nageswara Rao Koneti, Sudeep Verma, Shweta Bakhru, Karunakar Vadlamudi, Pallavi Kathare, B R Jagannath
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: Annals of Pediatric Cardiology, Vol 6, Iss 2, Pp 176-178 (2013)
Druh dokumentu: article
ISSN: 0974-2069
DOI: 10.4103/0974-2069.115275
Popis: We report a successful perventricular closure of an apical muscular ventricular septal defect (mVSD) by a modified technique. An eight-month-old infant, weighing 6.5 kilograms, presented with refractory heart failure. The transthoracic echocardiogram showed multiple apical mVSDs with the largest one measuring 10 mm. perventricular device closure using a 12 mm Amplatzer mVSD occluder was planned. The left ventricular disk was positioned approximating the interventricular septum; however, the right ventricular (RV) disk was deployed on the free wall of the RV due to an absent apical muscular septum and a small cavity at the apex. The RV disk of the device was covered using an autologous pericardium. His heart failure improved during follow-up.
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