Authors: Mehnaz Atiq Sohail Abraar Khan Fateh Ali Tipu Zahid Amin
Publish Date: 2008/05/15
Volume: 29, Issue: 5, Pages: 890-893
Abstract
Multiple congenital cardiac defects are usually addressed by cardiac surgery We present our experience with simultaneous transcatheter treatment of multiple defects in children Ten children six females and four males with multiple defects underwent treatment with interventional technique The mean age was 44 ± 26 years range 7 months to 8 years The cardiac diagnosis was patent ductus arteriosus PDA and valvular pulmonary stenosis PS in two atrial septal defect ASD and PDA in two ASD and PS in two PDA and aortic stenosis AS in three severe left ventricular dysfunction in two and perimembranous ventricular septal defect VSD and valvular PS in one The ASDs were closed with an Amplatzer septal occluder mean size 16 ± 4 mm four PDAs were closed with an Amplatzer duct occluder and three with a Cook’s detectable coil Mean balloon size used to dilate the pulmonary valve was 18 ± 4 mm and for the aortic valve this was 12 ± 2 mm There was a 70 ±15 postprocedure reduction of gradients across the stenotic valves The closure rate was 75 for PDAs in the catheterization laboratory 80 for ASDs and there was a mild residual intradevice leak in the VSD In conclusion interventional technology addressing multiple congenital cardiac defects as a combined procedure in the catheterization laboratory is safe and effective
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