Abstract
Percutaneous closure of ventricular septal defects (VSDs) has been rapidly developing in recent years. This was due to the emergence of a number of new occlusal devices and changes in their design. A big problem in both surgical and endovascular correction is the multiple defects of the interventricular septum, as their recanalization after previous operations, especially in combination with high pulmonary hypertension. The traditional method of implantation of double-disc occluders necessarily implied the use of two vascular approaches (arteries and veins) with the formation of a monorail system and was rather complicated for its implementation by X-ray surgeons. The use of a large patch to close multiple defects of the interventricular septum from the side of the right ventricle, followed by their recanalization, made their endovascular closure in this way practically impracticable. The use of an Amplatzer patent ductus arteriosus occluder (PDA II) and a retrograde approach for transcatheter closure of perimembranous and muscular VSDs made it possible to successfully solve the problem of recanalization with a 90% success rate.
This article describes a clinical case of a successful single-stage transcatheter closure of recanalization of multiple VSDs using two occluders PDA II using one approach. This child with multiple VSDs underwent surgery to plastic their closure using one patch on the side of the right ventricle and their recanalization complicated by the development of their recanalization with elements of pulmonary hypertension.
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About the authors
- Andrey V. Sobolev, Cand. Med. Sci., Leading Researcher; ORCID
- Gulumzhan M. Dadabaev, Cand. Med. Sci., Researcher; ORCID
- Karen V. Petrosyan, Dr. Med. Sci., Head of Department of X-ray Surgical Methods of Research and Treatment of the Heart and Blood Vessels; ORCID
- Ruslan A. Aybazov, Researcher; ORCID
- Mariya S. Volodina, Anesthesiologist-Intensivist; ORCID
- Anna M. Vaneeva, Ultrasonic Diagnostician; ORCID
