Percutaneous closure of a post-traumatic ventricular septal defect with a patent ductus arteriosus occluder

Article English OPEN
Er-Ping Xi ; Jian Zhu ; Shui-Bo Zhu ; Gui-Lin Yin ; Yong Liu ; Yong-Qiang Dong ; Yu Zhang ; Feng Xia (2012)
  • Publisher: Faculdade de Medicina / USP
  • Journal: Clinics, volume 67, issue 11, pages 1,281-1,283 (issn: 1807-5932, eissn: 1980-5322)
  • Related identifiers: pmc: PMC3488986, doi: 10.6061/clinics/2012(11)10
  • Subject: Percutaneous Closure | Clinical Science | R5-920 | Medicine (General) | Post-Traumatic Ventricular Septal Defect | Cardiac Injury | Patent Ductus Arteriosus Occlude
    mesheuropmc: cardiovascular system | congenital, hereditary, and neonatal diseases and abnormalities | cardiovascular diseases

OBJECTIVE: Ventricular septal defects resulting from post-traumatic cardiac injury are very rare. Percutaneous closure has emerged as a method for treating this disorder. We wish to report our experience in three patients who underwent percutaneous closure of a post-traumatic ventricular septal defect with a patent ductus arteriosus occluder. METHODS: We treated three patients with post-traumatic ventricular septal defects caused by stab wounds with knives. After the heart wound was repaired, patient examinations revealed ventricular septal defects with pulmonary/systemic flow ratios (Qp/Qs) of over 1.7. The post-traumatic ventricular septal defects were closed percutaneously with a patent ductus arteriosus occluder (Lifetech Scientific (Shenzhen) Co., LTD, Guangdong, China) utilizing standard techniques. RESULTS: Post-operative transthoracic echocardiography revealed no residual left-to-right shunt and indicated normal ventricular function. In addition, 320-slice computerized tomography showed that the occluder was well placed and exhibited normal morphology. CONCLUSION: Our experiences indicate that closure of a post-traumatic ventricular septal defect using a patent ductus arteriosus occluder is feasible, safe, and effective.