Transcatheter closure of perimembranous ventricular septal defect with immediate follow-up.

摘要: Background: Surgical closure of membranous ventricular septal defect (VSD) is performed by open heart surgery with a small but significant morbidity and mortality. The authors reported here the first group patients who underwent transcatheter VSD. Method: Patients had VSD left to right shunt as shown echocardiogram were selected for closure. A standard catheterization was done under general anesthesia. complete arteriovenous wire loop from aorta ventricle out into formed in order guide delivery sheath ventricle. used new Amplatzer Membranous Occluder (AGA Medical Corp., USA) deploy position. Results: There 4 present study age range 2 24 years old (median: old). Their weight ranged 10 45 kg 12 kg). Qp:Qs 1.7-2.5 1. device diameter 6 mm. All them placed without any residual shunt. At one month follow-up all echocardiographic examination which showed no evidence Conclusions: demonstrated that could be safely effectively children. This also provided an opportunity pulmonary hypertension.