Simultaneous Transcatheter Closure of a Ventricular Septal Defect and Pulmonary Valvuloplasty: A Case Report

Baraa Alghalyini; Abdul Rehman Zia Zaidi; Hadeel Khalid Bin Shuiel; Nouf Abdullah Alyabis; Mohammed Khalid Bin Shuayl; Ihab Suliman

doi:10.12659/AJCR.942032

19 April 2024 : Case report Saudi Arabia

Simultaneous Transcatheter Closure of a Ventricular Septal Defect and Pulmonary Valvuloplasty: A Case Report

Unusual or unexpected effect of treatment, Congenital defects / diseases

Baraa Alghalyini

^1AEF*, Abdul Rehman Zia Zaidi^1ABCDEF, Hadeel Khalid Bin Shuiel^2ABCEF, Nouf Abdullah Alyabis^2BCEF, Mohammed Khalid Bin Shuayl^2EF, Ihab Suliman^3ABCD

DOI: 10.12659/AJCR.942032

Am J Case Rep 2024; 25:e942032

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Table 2. Pre- and post-intervention echocardiographic assessment of cardiac structures and function.

Finding	Pre-intervention	Post-intervention
VSD	Apical muscular VSD with shunt from LV to RV	Muscular VSD closed with #6 Amplatzer device
Pulmonic valve	Thickening with doming, annulus 1.6 cm, gradient 60–70 mmHg	Mild thickening of pulmonic valve, gradient 12 mmHg
Right ventricular outflow	Dynamic obstruction, PIG=20 mmHg	No residual shunt, small residual leak seen
LV function	Normal	Normal
RV function	Normal	Normal
Additional findings	Severe RVH, no ASD or PDA seen	Mild to moderate pulmonic valvular regurgitation, trace tricuspid regurgitation
PIG refers to peak instantaneous gradient; LV – left ventricle; RV – right ventricle; RVH – right ventricular hypertrophy; ASD – atrial septal defect; PDA – patent ductus arteriosus.

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Simultaneous Transcatheter Closure of a Ventricular Septal Defect and Pulmonary Valvuloplasty: A Case Report

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