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Transcatheter closure of large perimembranous ventricular septal defects with inlet to outlet extension with the Amplatzer Vascular Plug-II

Published online by Cambridge University Press:  05 December 2022

Enrico Piccinelli Open the ORCID record for Enrico Piccinelli [Opens in a new window] ,
Carles Bautista-Rodriguez Open the ORCID record for Carles Bautista-Rodriguez [Opens in a new window]  and
Alain Fraisse
Enrico Piccinelli
Affiliation:
Paediatric Cardiology Services, Royal Brompton Hospital and Harefield NHS Foundation Trust, UK National Heart and Lung Institute, Imperial College London, UK Polito BIO Med Lab, Department of Mechanical and Aerospace Engineering, Politecnico di Torino, Italy
Carles Bautista-Rodriguez
Affiliation:
Paediatric Cardiology Services, Royal Brompton Hospital and Harefield NHS Foundation Trust, UK National Heart and Lung Institute, Imperial College London, UK
Alain Fraisse*
Affiliation:
Paediatric Cardiology Services, Royal Brompton Hospital and Harefield NHS Foundation Trust, UK National Heart and Lung Institute, Imperial College London, UK
*
Author for correspondence: Alain Fraisse, Paediatric Cardiology Services, Royal Brompton Hospital and Harefield NHS Foundation Trust, Sydney Street, SW3 6NP London, UK. Tel: +442073528121 ext 88680. E-mail: a.fraisse@rbht.nhs.uk
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Abstract

Transcatheter closure of perimembranous ventricular septal defect is an alternative to surgery in selected small to medium defects with a reasonable distance between the defect and the aortic or tricuspid valves. Surgical closure is generally preferred for large defects with an inlet to outlet extension, aortic malalignment, or deficient aortic rim. We report two successful cases of percutaneous closure of large perimembranous ventricular septal defects with inlet to outlet extension using an Amplatzer Vascular Plug-II via a retrograde approach. Transcatheter closure of large perimembranous ventricular septal defect with inlet to outlet extension is feasible and facilitated by the characteristics of the Amplatzer Vascular Plug-II device and the specific implantation technique.

Keywords

Perimembranous ventricular septal defectinlet ventricular septal defectoutlet ventricular septal defectAmplatzer Vascular Plug-II
Type
Brief Report
Information
Cardiology in the Young , Volume 33 , Issue 6 , June 2023 , pp. 1018 - 1022
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Copyright
© Royal Brompton hospital, 2022. Published by Cambridge University Press

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Footnotes

E.P. and C.B.R. authors have contributed equally to this work.

References

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