case_images: PMC6450237_01
case_images: (a) Two-dimensional transthoracic apical four-chamber zoom view focusing the posterobasal ventricular septal defect. (b) Two-dimensional transthoracic apical four-chamber view on color Doppler shows the left-to-right shunt. (c) Three-dimensional transthoracic apical four-chamber view images show ventricular septal defect and allow its sizing
case_images: JCE-29-17-g001.jpg
case_images: PMC6450237_01_JCE-29-17-g001.jpg
case_images: F1
case_images: A bedside Echo revealed a posterobasal VSD, measuring 12 mm x 9 mm on three-dimensional (3D) echo, with left-to-right shunting, and pulmonary hypertension (pulmonary artery systolic pressure [PASP] = 60 mmHg) [Figure 1a-c].
case_images: Fluoroscopic images before (a) and after (b) implantation of a 26-mm Amplatzer atrial septal occluder
case_images: JCE-29-17-g002.jpg
case_images: PMC6450237_01_JCE-29-17-g002.jpg
case_images: F2
case_images: Amplatzer atrial septal occluder on the delivery sheath was advanced via RV into the VSD [Figure 2a and b]. A partial occlusion of VSD with a significant reduction of the ventricular shunt was obtained.
case_images: Two-dimensional transthoracic apical four-chamber view images acquired 6 days after percutaneous closure: a 26-mm Amplatzer atrial septal occluder correctly placed (a) and mild residual interventricular shunt on color Doppler (b)
case_images: JCE-29-17-g003.jpg
case_images: PMC6450237_01_JCE-29-17-g003.jpg
case_images: F3
case_images: Echocardiographic evaluation [Figure 3a and b] performed 6 days later confirmed a correct apposition of the device with just trivial residual shunt and decreased PASP (30 mmHg).