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Transcatheter device closure of perimembranous ventricular septal defect associated with indirect Gerbode defect: A retrospective study


Department of Pediatric Cardiology, AMRI Hospitals Ltd., Kolkata, West Bengal, India

Correspondence Address:
Dr. Md Afaque Parvez
Department of Pediatric Cardiology, AMRI Hospital Ltd., Mukundapur, 230 Barakhola Lane, Purba Jadavpur, Kolkata - 700 099, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_143_20

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Year : 2021  |  Volume : 14  |  Issue : 3  |  Page : 397-400

 

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Perimembranous ventricular septal defect (pmVSD) is a common congenital heart disease that is sometimes associated with indirect left ventricle (LV) to right atrium (RA) shunt (indirect Gerbode defect). This defect has a rare chance of spontaneous closure and therefore was usually closed surgically in the past, but more recently transcatheter closure has been reported by a few authors. In our study, we have described a series of 14 children (age ranging from 1.2 to 12 years and weight ranging from 7.2 to 25.5 kg) with the above-mentioned defect which were closed by various interventional devices. The procedures were successful in complete elimination of pmVSD and immediate reduction of indirect LV-RA shunts with negligible residual tricuspid regurgitation on follow-up. In our midterm experience, the judicious use of double-disc devices is efficacious for occluding pmVSD associated with indirect Gerbode defect.






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Department of Pediatric Cardiology, AMRI Hospitals Ltd., Kolkata, West Bengal, India

Correspondence Address:
Dr. Md Afaque Parvez
Department of Pediatric Cardiology, AMRI Hospital Ltd., Mukundapur, 230 Barakhola Lane, Purba Jadavpur, Kolkata - 700 099, West Bengal
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_143_20

Rights and Permissions

Perimembranous ventricular septal defect (pmVSD) is a common congenital heart disease that is sometimes associated with indirect left ventricle (LV) to right atrium (RA) shunt (indirect Gerbode defect). This defect has a rare chance of spontaneous closure and therefore was usually closed surgically in the past, but more recently transcatheter closure has been reported by a few authors. In our study, we have described a series of 14 children (age ranging from 1.2 to 12 years and weight ranging from 7.2 to 25.5 kg) with the above-mentioned defect which were closed by various interventional devices. The procedures were successful in complete elimination of pmVSD and immediate reduction of indirect LV-RA shunts with negligible residual tricuspid regurgitation on follow-up. In our midterm experience, the judicious use of double-disc devices is efficacious for occluding pmVSD associated with indirect Gerbode defect.






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