P Bharadwaj1, A Banerji1, R Datta1, H Singh2, A K Ghosh3, G Keshavamurthy4. 1. Senior Advisor (Medicine & Cardiology), MH (CTC), Pune. 2. Senior Advisor (Medicine & Cardiology), 166 MH, C/O 56 APO. 3. Classified Specialist (Medicine) & Cardiologist, CH (CC), Lucknow. 4. Classified Specialist (Medicine & Resident Cardiology), MH (CTC), Pune.
Abstract
BACKGROUND: The 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. METHODS: Fourteen 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. RESULT: The 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. CONCLUSION: Device 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.
BACKGROUND: The 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. METHODS: Fourteen 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. RESULT: The 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. CONCLUSION: Device 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.
Authors: John L Bass; G S Kalra; Ramesh Arora; Jozef Masura; Pavlo Gavora; Basil D Thanopoulos; William Torres; Horst Sievert; Mario Carminati; Gunther Fischer; Peter Ewert Journal: Catheter Cardiovasc Interv Date: 2003-02 Impact factor: 2.692
Authors: L Kidd; D J Driscoll; W M Gersony; C J Hayes; J F Keane; W M O'Fallon; D R Pieroni; R R Wolfe; W H Weidman Journal: Circulation Date: 1993-02 Impact factor: 29.690