Catheter therapy of Swiss cheese ventricular septal defects using the amplatzer muscular VSD occluder

David J. Waight, Emile A. Bacha, Madelyn Kahana, Qi Ling Cao, Mary Heitschmidt, Ziyad M. Hijazi

Research output: Contribution to journalArticle

52 Scopus citations

Abstract

The medical and surgical management of patients with multiple muscular ventricular septal defects (VSDs) is associated with morbidity and mortality. Three children with Swiss cheese VSDs were treated with transcatheter occlusion of their multiple defects using the Amplatzer muscular VSD occluder. Seventeen defects were closed in five catheterization procedures. One patient had three devices placed in two procedures, the second had five defects closed in one procedure, and the third had nine defects closed in two procedures. Two patients had previously been treated with pulmonary artery banding and required subsequent surgical band removal. There was immediate reduction in the left-to-right shunting and clinical improvement in all patients. Complications included the need for blood transfusion during the two longest procedures and tricuspid valve regurgitation in one. Transcatheter occlusion of multiple VSDs is an acceptable alternative or adjunct to surgical therapy for these complex patients.

Original languageEnglish (US)
Pages (from-to)355-361
Number of pages7
JournalCatheterization and Cardiovascular Interventions
Volume55
Issue number3
DOIs
StatePublished - Mar 19 2002

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Keywords

  • Amplatzer septal occluder
  • Congenital heart disease
  • Transcatheter occlusion

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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