Case Reports
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Journal of Structural Heart Disease, August 2017, Volume 3, Issue 4:111-114
DOI: 10.12945/j.jshd.2017.014.16
Retrograde Percutaneous Closure of a Perimemberanous Ventricular Septal Defect with an Occluder Device in a Child with Interrupted Inferior Vena Cava
Amal El-Sisi, MD, MRCP1, Safaa Ali, MD2
1 Pediatric Department of Faculty of Medicine, Cairo University Hospital, Cairo, Egypt
2 Pediatric Department of Faculty of Medicine, Assistant Professor, Sohag University Hospital, Souhag, Egypt
Abstract
Femoral venous access is the typical route for the antegrade approach to percutaneous closure of a perimemberanous ventricular septal defect (PM VSD). In this case report, we attempted percutaneous PM VSD closure in a five-year-old child with interrupted inferior vena cava (IVC) using a retrograde arterial approach. The Amplatzer Duct Occluder II was chosen due to its symmetrical design that can be deployed using either a retrograde or antegrade approach. We found the retrograde percutaneous PM VSD closure by off-label use of this device to be an easy and feasible option in this case of interrupted IVC, whereas the use of an antegrade approach would have been imprecise and potentially time-consuming.
Cite this article as: El-Sisi A, Ali S. Retrograde Percutaneous Closure of a Perimemberanous Ventricular Septal Defect with an Occluder Device in a Child with Interrupted Inferior Vena Cava. Structural Heart Disease 2017;3(4):111-114. DOI: 10.12945/j.jshd.2017.014.16
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Case Reports
Journal of Structural Heart Disease, August 2017, Volume 3, Issue 4:111-114
DOI: 10.12945/j.jshd.2017.014.16
Retrograde Percutaneous Closure of a Perimemberanous Ventricular Septal Defect with an Occluder Device in a Child with Interrupted Inferior Vena Cava
Amal El-Sisi, MD, MRCP1, Safaa Ali, MD2
1 Pediatric Department of Faculty of Medicine, Cairo University Hospital, Cairo, Egypt
2 Pediatric Department of Faculty of Medicine, Assistant Professor, Sohag University Hospital, Souhag, Egypt
Abstract
Femoral venous access is the typical route for the antegrade approach to percutaneous closure of a perimemberanous ventricular septal defect (PM VSD). In this case report, we attempted percutaneous PM VSD closure in a five-year-old child with interrupted inferior vena cava (IVC) using a retrograde arterial approach. The Amplatzer Duct Occluder II was chosen due to its symmetrical design that can be deployed using either a retrograde or antegrade approach. We found the retrograde percutaneous PM VSD closure by off-label use of this device to be an easy and feasible option in this case of interrupted IVC, whereas the use of an antegrade approach would have been imprecise and potentially time-consuming.
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Cite this article as: El-Sisi A, Ali S. Retrograde Percutaneous Closure of a Perimemberanous Ventricular Septal Defect with an Occluder Device in a Child with Interrupted Inferior Vena Cava. Structural Heart Disease 2017;3(4):111-114. DOI: 10.12945/j.jshd.2017.014.16
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