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Iranian Journal of Pediatrics
Tehran University of Medical Sciences Press
ISSN: 1018-4406 EISSN: 1018-4406
Vol. 22, No. 4, 2012, pp. 555-558
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Bioline Code: pe12103
Full paper language: English
Document type: Case Report
Document available free of charge
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Iranian Journal of Pediatrics, Vol. 22, No. 4, 2012, pp. 555-558
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Simultaneous Transcatheter Closure of Ventricular Septal Defect and Pulmonary Valvuloplasty
Ardakani, Mostafa Behjati; Haddadzadeh, Mahdi & Rajaei, Shahrokh
Abstract
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.
Keywords
Balloon Valvuloplasty; Simultaneous Transcatheter; VSD; Pulmonary Stenosis; Balloon Catheterization
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© Copyright 2012 - Iranian Journal of Pediatrics Alternative site location: http://diglib.tums.ac.ir/pub/
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