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


1 Department of Pediatric Cardiology, Care Hospital, Hyderabad, India
2 Department of Pediatric Cardiac Surgery, Care Hospital, Hyderabad, India

Correspondence Address:
Nageswara Rao Koneti
Department of Pediatric Cardiology, Care Hospital, Hyderabad - 500 034
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.115275

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Year : 2013  |  Volume : 6  |  Issue : 2  |  Page : 176-178

 

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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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1 Department of Pediatric Cardiology, Care Hospital, Hyderabad, India
2 Department of Pediatric Cardiac Surgery, Care Hospital, Hyderabad, India

Correspondence Address:
Nageswara Rao Koneti
Department of Pediatric Cardiology, Care Hospital, Hyderabad - 500 034
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.115275

Rights and Permissions

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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