19 April 2024: Articles
Simultaneous Transcatheter Closure of a Ventricular Septal Defect and Pulmonary Valvuloplasty: A Case Report
Unusual or unexpected effect of treatment, Congenital defects / diseases
Baraa Alghalyini A* , Abdul Rehman Zia Zaidi A , Hadeel Khalid Bin Shuiel A , Nouf Abdullah Alyabis B , Mohammed Khalid Bin Shuayl E , Ihab Suliman ADOI: 10.12659/AJCR.942032
Am J Case Rep 2024; 25:e942032
Table 2. Pre- and post-intervention echocardiographic assessment of cardiac structures and function.
| Finding | Pre-intervention | Post-intervention |
|---|---|---|
| VSD | Apical muscular VSD with shunt from LV to RV | Muscular VSD closed with #6 Amplatzer device |
| Pulmonic valve | Thickening with doming, annulus 1.6 cm, gradient 60–70 mmHg | Mild thickening of pulmonic valve, gradient 12 mmHg |
| Right ventricular outflow | Dynamic obstruction, PIG=20 mmHg | No residual shunt, small residual leak seen |
| LV function | Normal | Normal |
| RV function | Normal | Normal |
| Additional findings | Severe RVH, no ASD or PDA seen | Mild to moderate pulmonic valvular regurgitation, trace tricuspid regurgitation |
| PIG refers to peak instantaneous gradient; LV – left ventricle; RV – right ventricle; RVH – right ventricular hypertrophy; ASD – atrial septal defect; PDA – patent ductus arteriosus. | ||