PMC3959060_01
Echo at presentation
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F1
Echocardiography showed an 8-mm muscular VSD near the apex, which was initially thought to be a congenital defect [Figure 1].
CT scan at presentation
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F2
The CT chest and abdomen showed lung contusions at both bases and liver laceration [Figure 2].
Cardiac catheter
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F3
This was placed after forming an arterio-venous guidewire loop through a 7-Fr delivery system [Figures 3 and 4].
First device closure
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F4
This was placed after forming an arterio-venous guidewire loop through a 7-Fr delivery system [Figures 3 and 4].
CXR post device closure
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F5
Post-procedure echocardiogram showed the presence of only a small residual VSD, which was anticipated due to the unusual morphology and ragged edges of the traumatic VSD [Figures 5 and 6].
Echo post first device
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F6
Post-procedure echocardiogram showed the presence of only a small residual VSD, which was anticipated due to the unusual morphology and ragged edges of the traumatic VSD [Figures 5 and 6].
Second cardiac catheter
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F7
Following the second procedure, he had no residual shunt with complete resolution of left ventricular dilatation (Figures 7 and 8).
Second device closure
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F8
Following the second procedure, he had no residual shunt with complete resolution of left ventricular dilatation (Figures 7 and 8).