PMC5873782_01
Transthoracic echocardiography, parasternal view showing interventricular
traumatic defect in the median septum (a), and evidence of left-to-right
shunt (b). Transthoracic echocardiography, apical view of iatrogenic
interventricular defect (c) and color-doppler image of the L-R shunt
(d). Transthoracic echocardiography, longitudinal view of the successful
implanting Amplatzer device to close the tVSD (e-f ).
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f1
Figures 1A to D). Following the critical hemodynamic deterioration, the norepinephrine and epinephrine infusions were started (0.1 mcg/kg/min) and the patient was immediately operated. To complete the treatment, the patient underwent a procedure to position the Amplatzer VSD occluder device (16-mm) by transcatheter way in the same operation time (Figures 1E to F and Figure 2B). The procedures were free of complications and the postoperative period was short and uneventfully.
Conventional coronary angiography documented traumatic ventricular septal
defect (a) and positioning of VSD occluder (white arrow) with good
results (b).
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f2
To complete the treatment, the patient underwent a procedure to position the Amplatzer VSD occluder device (16-mm) by transcatheter way in the same operation time (Figures 1E to F and Figure 2B). The procedures were free of complications and the postoperative period was short and uneventfully.