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

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Koneti, Nageswara Rao, Verma, Sudeep, Bakhru, Shweta, Vadlamudi, Karunakar, Kathare, Pallavi, Jagannath, BR
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2013
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3957452/
https://www.ncbi.nlm.nih.gov/pubmed/24688240
http://dx.doi.org/10.4103/0974-2069.115275
_version_ 1782307789205405696
author Koneti, Nageswara Rao
Verma, Sudeep
Bakhru, Shweta
Vadlamudi, Karunakar
Kathare, Pallavi
Jagannath, BR
author_facet Koneti, Nageswara Rao
Verma, Sudeep
Bakhru, Shweta
Vadlamudi, Karunakar
Kathare, Pallavi
Jagannath, BR
author_sort Koneti, Nageswara Rao
collection PubMed
description 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.
format Online
Article
Text
id pubmed-3957452
institution National Center for Biotechnology Information
language English
publishDate 2013
publisher Medknow Publications & Media Pvt Ltd
record_format MEDLINE/PubMed
spelling pubmed-39574522014-03-31 Epicardial deployment of right ventricular disk during perventricular device closure in a child with apical muscular ventricular septal defect Koneti, Nageswara Rao Verma, Sudeep Bakhru, Shweta Vadlamudi, Karunakar Kathare, Pallavi Jagannath, BR Ann Pediatr Cardiol Case Report 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. Medknow Publications & Media Pvt Ltd 2013 /pmc/articles/PMC3957452/ /pubmed/24688240 http://dx.doi.org/10.4103/0974-2069.115275 Text en Copyright: © Annals of Pediatric Cardiology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Koneti, Nageswara Rao
Verma, Sudeep
Bakhru, Shweta
Vadlamudi, Karunakar
Kathare, Pallavi
Jagannath, BR
Epicardial deployment of right ventricular disk during perventricular device closure in a child with apical muscular ventricular septal defect
title Epicardial deployment of right ventricular disk during perventricular device closure in a child with apical muscular ventricular septal defect
title_full Epicardial deployment of right ventricular disk during perventricular device closure in a child with apical muscular ventricular septal defect
title_fullStr Epicardial deployment of right ventricular disk during perventricular device closure in a child with apical muscular ventricular septal defect
title_full_unstemmed Epicardial deployment of right ventricular disk during perventricular device closure in a child with apical muscular ventricular septal defect
title_short Epicardial deployment of right ventricular disk during perventricular device closure in a child with apical muscular ventricular septal defect
title_sort epicardial deployment of right ventricular disk during perventricular device closure in a child with apical muscular ventricular septal defect
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3957452/
https://www.ncbi.nlm.nih.gov/pubmed/24688240
http://dx.doi.org/10.4103/0974-2069.115275
work_keys_str_mv AT konetinageswararao epicardialdeploymentofrightventriculardiskduringperventriculardeviceclosureinachildwithapicalmuscularventricularseptaldefect
AT vermasudeep epicardialdeploymentofrightventriculardiskduringperventriculardeviceclosureinachildwithapicalmuscularventricularseptaldefect
AT bakhrushweta epicardialdeploymentofrightventriculardiskduringperventriculardeviceclosureinachildwithapicalmuscularventricularseptaldefect
AT vadlamudikarunakar epicardialdeploymentofrightventriculardiskduringperventriculardeviceclosureinachildwithapicalmuscularventricularseptaldefect
AT katharepallavi epicardialdeploymentofrightventriculardiskduringperventriculardeviceclosureinachildwithapicalmuscularventricularseptaldefect
AT jagannathbr epicardialdeploymentofrightventriculardiskduringperventriculardeviceclosureinachildwithapicalmuscularventricularseptaldefect

Ejemplares similares