Nageswara Rao Koneti1, Sudeep Verma1, Shweta Bakhru1, Karunakar Vadlamudi1, Pallavi Kathare1, BR Jagannath2
1 Department of Pediatric Cardiology, Care Hospital, Hyderabad, India
2 Department of Pediatric Cardiac Surgery, Care Hospital, Hyderabad, India
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.
Nageswara Rao Koneti
Department of Pediatric Cardiology, Care Hospital, Hyderabad - 500 034
Source of Support: None, Conflict of Interest: None
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