Open AccessEpicardial deployment of right ventricular disk during perventricular device closure in a child with apical muscular ventricular septal defect
Author(s) -
Nageswara Rao Koneti,
Sudeep Verma,
Shweta Bakhru,
Karunakar Vadlamudi,
Pallavi Kathare,
BR Jagannath
Publication year - 2013
Publication title -
annals of pediatric cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.292
H-Index - 19
eISSN - 0974-2069
pISSN - 0974-5149
DOI - 10.4103/0974-2069.115275
Subject(s) - medicine , cardiology , interventricular septum , apex (geometry) , heart failure , right atrium , anatomy , ventricle
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.