case_images: PMC3959060_01
case_images: Echo at presentation
case_images: APC-7-41-g001.jpg
case_images: PMC3959060_01_APC-7-41-g001.jpg
case_images: F1
case_images: Echocardiography showed an 8-mm muscular VSD near the apex, which was initially thought to be a congenital defect [Figure 1].
case_images: CT scan at presentation
case_images: APC-7-41-g002.jpg
case_images: PMC3959060_01_APC-7-41-g002.jpg
case_images: F2
case_images: The CT chest and abdomen showed lung contusions at both bases and liver laceration [Figure 2].
case_images: Cardiac catheter
case_images: APC-7-41-g003.jpg
case_images: PMC3959060_01_APC-7-41-g003.jpg
case_images: F3
case_images: This was placed after forming an arterio-venous guidewire loop through a 7-Fr delivery system [Figures 3 and 4].
case_images: First device closure
case_images: APC-7-41-g004.jpg
case_images: PMC3959060_01_APC-7-41-g004.jpg
case_images: F4
case_images: This was placed after forming an arterio-venous guidewire loop through a 7-Fr delivery system [Figures 3 and 4].
case_images: CXR post device closure
case_images: APC-7-41-g005.jpg
case_images: PMC3959060_01_APC-7-41-g005.jpg
case_images: F5
case_images: 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].
case_images: Echo post first device
case_images: APC-7-41-g006.jpg
case_images: PMC3959060_01_APC-7-41-g006.jpg
case_images: F6
case_images: 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].
case_images: Second cardiac catheter
case_images: APC-7-41-g007.jpg
case_images: PMC3959060_01_APC-7-41-g007.jpg
case_images: F7
case_images: Following the second procedure, he had no residual shunt with complete resolution of left ventricular dilatation (Figures 7 and 8).
case_images: Second device closure
case_images: APC-7-41-g008.jpg
case_images: PMC3959060_01_APC-7-41-g008.jpg
case_images: F8
case_images: Following the second procedure, he had no residual shunt with complete resolution of left ventricular dilatation (Figures 7 and 8).