Iranian Journal of Pediatrics
Tehran University of Medical Sciences Press
Vol. 22, No. 4, 2012, pp. 555-558
Bioline Code: pe12103
Full paper language: English
Document type: Case Report
Document available free of charge
Iranian Journal of Pediatrics, Vol. 22, No. 4, 2012, pp. 555-558
© Copyright 2012 - Iranian Journal of Pediatrics
Simultaneous Transcatheter Closure of Ventricular Septal Defect and Pulmonary Valvuloplasty|
Ardakani, Mostafa Behjati; Haddadzadeh, Mahdi & Rajaei, Shahrokh
Background: Transcatheter balloon valvuloplasty has been the accepted first line treatment for congenital
pulmonic stenosis (PS) in children. Transcatheter closure of perimembranous ventricular septal defect (VSD)
with Amplatzer VSD occluder is an alternative to surgical repair.
Case Presentation: A 12 year old boy presented with history of exertional dyspnea and atypical chest pain.
Physical findings were suggestive of severe pulmonic stenosis. Transthoracic echocardiography, right and left
ventricular angiography showed medium to large sized perimembranous VSD and severe valvar pulmonary
stenosis. Transcatheter closure of VSD was done first so as to avoid large left to right shunt across VSD after
balloon pulmonary valvuplasty.
Conclusion: We demonstrated the feasibility and success in treating combined ventricular septal defect and
severe pulmonary valve stenosis with transcatheter interventional procedure in the same session.
Balloon Valvuloplasty; Simultaneous Transcatheter; VSD; Pulmonary Stenosis; Balloon Catheterization
Alternative site location: http://diglib.tums.ac.ir/pub/