Page 22 - Journal of Structural Heart Disease Volume 3, Issue 3

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Meeting Abstracts
CATHETER CLOSURE OF CATHETER CLOSURE
OF SINGLE PVL (PARAVALVULAR LEAK) MAY EXACERBATE PVL AT ANOTHER LOCATION: A REPORT OF TWO CASES
Takeshi Arita1, Hidehiko Hara2, Hirotaka Noda1, Taku Yokoyama1, Go Hashimoto2, Hiromichi Sonoda3, Akira Shiose3, Ken-ichi Hiasa4, Keita Odashiro1, Koichi Akashi1
1 Division of Cardioangiology, Department of Medicine, Kyushu
University Hospital
2 Department of Cardiology, Toho University Ohashi Medical
Center
3 Department of Cardiothoracic Surgery, Kyushu University
Hospital
4 Department of Cardiology, Kyushu University Hospital
Case 1: A 70-year-old female who underwent mitral valve replace- ment twice developed heart failure due to severe PVL at medial location. Small PVL was also noted at the lateral location. We per- formed catheter closure of medial PVL using Occlutech PLD device with marked reduction in PVL. Six months later, echocardiography revealed exacerbation of lateral PVL.
Case 2: An 85-year-old male with a history of mitral and aortic valve replacement developed heart failure due to PVL. Echocardiography revealed severe medial PVL and trivial lateral PVL. We performed tran- sapical catheter closure of medial PVL using Occlutech PLD device with an elimination of PVL at the medial location. Two months later, he developed severe hemolytic anemia for which exacerbated lateral PVL is thought to be culprit.
In cases with multiple PVLs, single closure of PVL may exacerbate another PVL possibly due to altered hemodynamical load.
PERCUTANEOUS ASD & VSD CLOSURE OF A 4 MONTHS OLD INFANT IN THE SAME SESSION
Ali Baykan / Nazmi Narin / Ozge Pamukcu / Kazim Uzum / Suleyman Sunkak
Erciyes University Pediatric Cardiology Department, Melikgazi, Kayseri,Turkey
Objective: Percutaneous closure of septal defects is a successful treatment modality that has been used for a long period of time in children. Our main objective in this case report is to present the transcatheter closure of atrial and ventricular septal defects of four months old infant in the same session. As far as we know this case is the youngest patient on whom percutaneous VSD closure was done in the same session with ASD closure.
History and Physical: Four months old boy with tachypnea, tachycar- dia diagnosed to have aneurysmatic perimembranous ventricular septal defect (VSD) sized 4 mm and atrial septal defect (ASD) sized 8 mm. Anti-congestive treatment was started but despite treatment, his symptoms continued and he was hospitalized 3 times for lower respiratory tract infections.
Indication for Intervention: Surgery was found as too risky because his lung parenchyma was not good and body weight was low. Therefore transcatheter closure was planned.
Intervention: VSD was closed with 4x4 Amplatzer® Ductal Occluder II device, ASD with 9 mm sized Amplatzer® Septal Occluder. In his rst month control his complaints relieved and body weight was increased to 6.2kg.
Learning Points of Intervention: Percutaneous ASD and VSD closure is being done safely in children, but for the rst time, percutaneous VSD closure was done in an infant with low body weight in the same session with ASD closure successfully. This case will be an encourag- ing example for the future.
Figure 1.
Figure 1.
Hijazi, Z
20th Annual PICS/AICS Meeting Abstracts