Case Studies
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Journal of Structural Heart Disease, December 2018, Volume 4, Issue 6:261-264
DOI: 10.12945/j.jshd.2019.011.18
Is it Possible to Close a VSD in a Small Critically Ill Patient Without Artery Puncture Using a Cera® PDA Device?
Jesus Damsky Barbosa, MD*, Jorge Elbio Gómez, MD*, José Luis Alonso, MD*, Judith Ackerman, MD*, Roxana Chiabrando, MD
Department of Cardiology, Franchín Institution, Buenos Aires, Argentina
Abstract
Surgical residual ventricular septal deect (VSD) may lead to pulmonary hyperflow and edema in a small patient. Reoperation to address the residual defect carries high mortality, as this type of VSD may be difficult to solve and the patient is usually in congestive heart failure. Transcatheter closure becomes then an attractive approach.
We report a case in a small haemodynamically unstable patient with a residual apical VSD by transcatheter closure. TTE showed the VSD like a tunnel. A Cera®Lifetch PDA device was chosen to occlude it. The procedure was carried out without arterial puncture and guided by TTE, forming a veno-venous loop from right femoral to right jugular veins. The patient was discharged 15 days after procedure and at 6 months follow-up continues to be haemodynamically compensated.
Cite this article as: Damsky Barbosa
J, Gómez JE, Alonso JL, Ackerman J, Chiabrando R. Is it Possible to Close a VSD in a Small Critically Ill Patient Without Artery Puncture Using a Cera® PDA Device?. Structural Heart Disease 2018;4(6):261-264. DOI: 10.12945/j.jshd.2019.011.18
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Case Studies
Journal of Structural Heart Disease, December 2018, Volume 4, Issue 6:261-264
DOI: 10.12945/j.jshd.2019.011.18
Is it Possible to Close a VSD in a Small Critically Ill Patient Without Artery Puncture Using a Cera® PDA Device?
Jesus Damsky Barbosa, MD*, Jorge Elbio Gómez, MD*, José Luis Alonso, MD*, Judith Ackerman, MD*, Roxana Chiabrando, MD
Department of Cardiology, Franchín Institution, Buenos Aires, Argentina
Abstract
Surgical residual ventricular septal deect (VSD) may lead to pulmonary hyperflow and edema in a small patient. Reoperation to address the residual defect carries high mortality, as this type of VSD may be difficult to solve and the patient is usually in congestive heart failure. Transcatheter closure becomes then an attractive approach.
We report a case in a small haemodynamically unstable patient with a residual apical VSD by transcatheter closure. TTE showed the VSD like a tunnel. A Cera®Lifetch PDA device was chosen to occlude it. The procedure was carried out without arterial puncture and guided by TTE, forming a veno-venous loop from right femoral to right jugular veins. The patient was discharged 15 days after procedure and at 6 months follow-up continues to be haemodynamically compensated.
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Cite this article as: Damsky Barbosa J, Gómez JE, Alonso JL, Ackerman J, Chiabrando R. Is it Possible to Close a VSD in a Small Critically Ill Patient Without Artery Puncture Using a Cera® PDA Device?. Structural Heart Disease 2018;4(6):261-264. DOI: 10.12945/j.jshd.2019.011.18
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