Novel method for delivering the Amplatzer muscular VSD occluder in a patient with double outlet right ventricle after bidirectional Glenn procedure and pulmonary artery band

Catheter Cardiovasc Interv. 2009 Sep 1;74(3):488-93. doi: 10.1002/ccd.21982.

Abstract

We report the first use of bilateral femoral venovenous rail creation for the delivery of an Amplatzer Muscular Ventricular Septal Defect Occluder in a patient with a large mid-to-apical muscular ventricular septal defect before Rastelli operation. The presence of a right-sided bidirectional Glenn shunt, a banded main pulmonary artery, and double outlet right ventricle anatomy precluded the use of standard delivery techniques. The patient underwent successful transcatheter device placement followed by Rastelli operation on the following day.

Publication types

  • Case Reports

MeSH terms

  • Abnormalities, Multiple / diagnostic imaging
  • Abnormalities, Multiple / surgery*
  • Cardiac Catheterization* / instrumentation
  • Cardiac Catheterization* / methods
  • Double Outlet Right Ventricle / complications
  • Double Outlet Right Ventricle / diagnostic imaging
  • Double Outlet Right Ventricle / surgery*
  • Echocardiography, Doppler, Color
  • Echocardiography, Transesophageal
  • Female
  • Femoral Vein*
  • Heart Bypass, Right*
  • Heart Septal Defects, Ventricular / complications
  • Heart Septal Defects, Ventricular / diagnostic imaging
  • Heart Septal Defects, Ventricular / therapy*
  • Humans
  • Infant
  • Palliative Care
  • Pulmonary Artery / surgery*
  • Radiography
  • Treatment Outcome