Vol.17, No.2, 2022, pp.193-199, doi:10.32604/chd.2022.017721
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CASE REPORT
Transcatheter Device Closure of a Perimembranous Ventricular Septal Defect in Congenitally Corrected Transposition of the Great Arteries
  • Catherine E. Tomasulo1,*, Lindsay S. Rogers1, Lauren Andrade1,2, Michael L. O’Byrne1,3,4
1 Division of Cardiology, The Children’s Hospital of Philadelphia, Philadelphia, USA
2 Division of Cardiology, Hospital of the University of Pennsylvania, Philadelphia, USA
3 Center for Pediatric Clinical Effectiveness, The Children’s Hospital of Philadelphia, Philadelphia, USA
4 Leonard Davis Institute and Center for Cardiovascular Outcomes, Quality, and Evaluative Research, University of Pennsylvania, Philadelphia, USA
* Corresponding Author: Catherine E. Tomasulo. Email:
Received 01 June 2021; Accepted 10 August 2021; Issue published 26 January 2022
Abstract
The majority of patients with congenitally corrected transposition of the great arteries, also known as transposition of the great arteries {S,L,L} have ventricular septal defects (VSD), most commonly perimembranous VSD (pmVSD). Transcatheter device closure of pmVSD in these patients has not been widely described. We present a case of device closure of pmVSD in L-TGA with an Amplatzer Duct Occluder II (ADOII) device using a deployment starting in the subpulmonary left ventricle. The case demonstrates some of the technical advantages of the ADOII device for VSD closure, specifically its low profile, symmetric shape, and soft material. These characteristics are advantageous in closing conventional pmVSD but are especially useful in patients with challenging anatomic substrates.
Keywords
Percutaneous; catheterization; congenital heart disease; thromboembolism
Cite This Article
Tomasulo, C. E., Rogers, L. S., Andrade, L., O’Byrne, M. L. (2022). Transcatheter Device Closure of a Perimembranous Ventricular Septal Defect in Congenitally Corrected Transposition of the Great Arteries. Congenital Heart Disease, 17(2), 193–199.
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