case_images: PMC10076841_01
case_images: Antegrade jugular vein approach in multiple-defect muscular VSD closure with pulmonary hypertension. (A) Multiple VSD. (B) 5F sidehole Multipurpose catheter was directed from SVC towards RA. (C) Catheter was then directed towards RV. (D) The catheter successfully crossed from RV into LV. (E) With the assistance of 0.035'' Amplatzer stiff wire, the catheter was changed with 8F delivery sheath. (F) The Amplatzer device occluder (AGA) No 16 mm was delivered and one of the disc was deployed in the LV side, (G) and RV side. (H) Device stowed in place; Red arrowhead showed the position of the catheter, green arrowhead showed the position of the delivery sheath. Notes: VSD, ventricular septal defect; SVC, superior vena cava; RV, right ventricle; LV, left ventricle; RA, right atrium; LA, left atrium.
case_images: fcvm-10-1093563-g001.jpg
case_images: PMC10076841_01_fcvm-10-1093563-g001.jpg
case_images: F1
case_images: TR mild with septal leaflet tricuspid prolapse. (Figure 1A). A 5F MP sidehole diagnostic catheter was introduced under the direction of transesophageal echocardiography (TEE) from SVC, RA, RV and LV through muscular VSD (Figures 1B-D). Using 0.035'' Amplatzer stiff wire, we change to 8F delivery sheath (Figure 1E). Full device deployment was successfully performed with several episodes of PVC storm and severe bradycardia (Figures 1F-H). Echocardiography evaluation showed no complications before, during, and after deployment of the occluder device (Figure 1H).