Hybrid Perventricular Ventricular Septal Defect Device Closure in a 3-Months Old Infant with Severe Failure to Thrive

Khurrum Akhtar; Sana Imtiaz; Saima Rafique; Dawood Kamal; Kaleem Ahmad; Andaleeb Ara; Nadeem Sadiq; Mujeeb Ur Rehman

doi:10.51253/pafmj.v73iSUPPL-3.10662

Authors

Khurrum Akhtar Department of Paediatric Cardiology, Armed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi, Pakistan
Sana Imtiaz Department of Paediatric Cardiology, Armed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi, Pakistan
Saima Rafique Department of Paediatric Cardiology, Armed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi, Pakistan
Dawood Kamal Department of Paediatric Cardiac Surgery, Armed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi, Pakistan
Kaleem Ahmad Department of Paediatric Cardiac Anesthesia, Armed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi ,Pakistan
Andaleeb Ara Department of Paediatric Cardiology, Armed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi, Pakistan
Nadeem Sadiq Department of Paediatric Cardiology, Armed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi, Pakistan
Mujeeb Ur Rehman Department of Paediatric Cardiac Surgery, Armed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi, Pakistan

DOI:

https://doi.org/10.51253/pafmj.v73iSUPPL-3.10662

Keywords:

Congenital Heart Diseases, Hybrid, Perventricular, Ventricular Septal Defect closure, Patent Ductus Arteriosus

Abstract

We report a case of successful hybrid device closure of large mid muscular Ventricular Septal Defect (VSD) in an infant for the very first time in Pakistan. Increasing collaboration between pediatric cardiac interventionalists and congenital cardiac surgeons has resulted in introduction of various hybrid procedures in the management of Congenital Heart Diseases (CHD). Advantages of hybrid procedures include complex interventions by using minimally invasive methods, avoidance of cardiopulmonary bypass, shorter procedure and recovery time leading to subsequent decrease in complications. A large VSD in an infant carries an increased risk of morbidity including failure to thrive, congestive cardiac failure, and recurrent
respiratory tract infections. Timely and safely the successful perventricular closure of large VSD using hybrid approach is a milestone in the management of VSDs in infants.