case_images: PMC5873782_01
case_images: Transthoracic echocardiography, parasternal view showing interventricular
  traumatic defect in the median septum (a), and evidence of left-to-right
  shunt (b). Transthoracic echocardiography, apical view of iatrogenic
  interventricular defect (c) and color-doppler image of the L-R shunt
  (d). Transthoracic echocardiography, longitudinal view of the successful
  implanting Amplatzer device to close the tVSD (e-f ).
case_images: rbccv-33-01-0099-g01.jpg
case_images: PMC5873782_01_rbccv-33-01-0099-g01.jpg
case_images: f1
case_images: Figures 1A to D). Following the critical hemodynamic deterioration, the norepinephrine and epinephrine infusions were started (0.1 mcg/kg/min) and the patient was immediately operated. To complete the treatment, the patient underwent a procedure to position the Amplatzer VSD occluder device (16-mm) by transcatheter way in the same operation time (Figures 1E to F and Figure 2B). The procedures were free of complications and the postoperative period was short and uneventfully.
case_images: Conventional coronary angiography documented traumatic ventricular septal
  defect (a) and positioning of VSD occluder (white arrow) with good
  results (b).
case_images: rbccv-33-01-0099-g02.jpg
case_images: PMC5873782_01_rbccv-33-01-0099-g02.jpg
case_images: f2
case_images: To complete the treatment, the patient underwent a procedure to position the Amplatzer VSD occluder device (16-mm) by transcatheter way in the same operation time (Figures 1E to F and Figure 2B). The procedures were free of complications and the postoperative period was short and uneventfully.