Percutaneous Closure of Perimembranous Ventricular Septal Defect with Amplatzer Device |
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| Authors: | P Bharadwaj A Banerji R Datta H Singh AK Ghosh G Keshavamurthy |
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| Affiliation: | *Senior Advisor (Medicine & Cardiology), MH (CTC), Pune;+Senior Advisor (Medicine & Cardiology), MH (CTC), Pune;#Senior Advisor (Medicine & Cardiology), MH (CTC), Pune;**Senior Advisor (Medicine & Cardiology), 166 MH, C/O 56 APO;++Classified Specialist (Medicine) & Cardiologist, CH (CC), Lucknow;##Classified Specialist (Medicine & Resident Cardiology), MH (CTC), Pune |
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| Abstract: | BackgroundThe Amplatzer perimembranous ventricular septal occluder is an innovative device for percutaneous closure of perimembranous ventricular septal defects (PMVSD). In appropriately selected cases this procedure is safe and effective.MethodsFourteen patients with the mean age 10.53 years (range 18 months to 55 years) and mean body weight 20.64 kg (range 6 to 52 kg) underwent PMVSD closure.ResultThe PMVSD mean diameter was 5.28 mm (range from 4 to 9 mm). Implantation was successful in 92% of the cases and all patients had complete occlusion of the shunt within three months.ConclusionDevice orientation was excellent in all cases. Device-related aortic insufficiency, tricuspid insufficiency or left ventricular dysfunction was not observed. One patient had embolisation of the device and another had complete heart block which required a permanent pacemaker implantation. The excellent short term results need to be confirmed over long-term follow-up.Key Words: Perimembranous ventricular septal defect, Arrhythmias, Percutaneous closure |
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