case_images: PMC11715082_01
case_images: Transthoracic echocardiogram. A. Parasternal long-axis view: 13 mm ventricular septal defect (VSD). B. Color Doppler: Left-to-right shunt across the VSD C. Parasternal short-axis window: VSD D. Color Doppler showing flow through the VSD
case_images: 12245_2024_805_Fig1_HTML.jpg
case_images: PMC11715082_01_12245_2024_805_Fig1_HTML.jpg
case_images: Fig1
case_images: A transthoracic echocardiogram (TTE) revealed a VSD with a maximum diameter of 13 mm and left-to-right shunt, mild dilation of the left chambers with normal systolic function (left ventricular ejection fraction of 63%) and a right ventricle with normal size and contractile function (Fig. 1, see Supplementary file video 1).
case_images: Intraoperative fluoroscopic and transesophageal echocardiogram (TEE) guidance. A. Fluoroscopy showing the deployment of an Amplatzer device (yellow arrow). B. TEE Parasternal long-axis window: Amplatzer device well positioned (yellow arrow). B. TEE 3D reconstruction of the Amplatzer device (yellow arrow) occluding the VSD
case_images: 12245_2024_805_Fig2_HTML.jpg
case_images: PMC11715082_01_12245_2024_805_Fig2_HTML.jpg
case_images: Fig2
case_images: The procedure was performed using a right femoral arterial and left femoral access approach, with fluoroscopic and transesophageal echocardiogram (TEE) guidance (Fig. 2). P.I device was deployed across the defect. After checking its position and stability, its release was carried out. Postoperative transthoracic echocardiogram showed the device was adequately positioned with minimal residual unidirectional flow from left to right (Fig. 3, see Supplementary file video 2).
case_images: Transthoracic echocardiogram. Parasternal short-axis view A. A well-positioned VSD closure device is observed in the middle segment of the anterior septum. B. Color Doppler: Unidirectional left-to-right residual shunt, with a large decrease in flow compared to the preprocedural study
case_images: 12245_2024_805_Fig3_HTML.jpg
case_images: PMC11715082_01_12245_2024_805_Fig3_HTML.jpg
case_images: Fig3
case_images: P.I device was deployed across the defect. After checking its position and stability, its release was carried out. Postoperative transthoracic echocardiogram showed the device was adequately positioned with minimal residual unidirectional flow from left to right (Fig. 3, see Supplementary file video 2).