Year : 2019  |  Volume : 12  |  Issue : 2  |  Page : 159--162

Closure of insufficient, native right ventricular outflow tract with AMPLATZER™ muscular ventricular septal defect occluder in a patient with tetralogy of Fallot post-Melody® valve


Neha Bansal, Sanjeev Aggarwal, Daniel R Turner 
 The Carmen and Ann Adams Department of Pediatrics, Division of Cardiology, The Children's Hospital of Michigan, Wayne State University School of Medicine, Detroit, MI, USA

Correspondence Address:
Dr. Neha Bansal
The Carmen and Ann Adams Department of Pediatrics, Division of Cardiology, The Children's Hospital of Michigan, Wayne State University School of Medicine, Detroit, MI
USA

AMPLATZER™ muscular ventricular septal defect occluder is used commonly for off-label purposes. We describe an unusual case of a patient with tetralogy of Fallot who underwent repair with a right ventricle to pulmonary artery homograft due to abnormal coronary artery pattern. During the initial surgery, the native right ventricular outflow tract was left open. At 30 years of age, he was symptomatic due to severe native right ventricular outflow tract insufficiency. Cardiac MRI confirmed a dilated right ventricle and pulmonary insufficiency through the native right ventricular outflow tract, despite no significant homograft insufficiency due to previous Melody® valve placement. The right ventricular outflow tract was closed successfully using an 18 mm AMPLATZER™ muscular ventricular septal defect occluder. At 5-year follow-up, there is no native right ventricular outflow tract insufficiency and no additional arrhythmia. We suggest that percutaneous closure of the insufficient; native right ventricular outflow tract using a septal occluder is an alternative to surgical management.


How to cite this article:
Bansal N, Aggarwal S, Turner DR. Closure of insufficient, native right ventricular outflow tract with AMPLATZER™ muscular ventricular septal defect occluder in a patient with tetralogy of Fallot post-Melody® valve.Ann Pediatr Card 2019;12:159-162


How to cite this URL:
Bansal N, Aggarwal S, Turner DR. Closure of insufficient, native right ventricular outflow tract with AMPLATZER™ muscular ventricular septal defect occluder in a patient with tetralogy of Fallot post-Melody® valve. Ann Pediatr Card [serial online] 2019 [cited 2019 Sep 21 ];12:159-162
Available from: http://www.annalspc.com/article.asp?issn=0974-2069;year=2019;volume=12;issue=2;spage=159;epage=162;aulast=Bansal;type=0