Transcatheter closure of large apical muscular ventricular septal defects (VSDs) can be performed via transfemoral or hybrid approach. A very large apical muscular VSD was closed via a hybrid approach. A strategy for deployment of a right ventricular stay suture was utilized to minimize the risk of device embolization without the use of bypass and without externalization of a portion of the device.
Keywords: VSD; closure; congenital heart disease, pediatrics; interventional devices/innovation; pediatric intervention; structural heart disease intervention.
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