ABSTRACT

Percutaneous closure of septal defects is a successful treatment modality that has been used for a long period of time in children. Our main objective in this case report is to discuss the transcatheter closure of atrial and ventricular septal defects of 4-month-old infant in the same session. As far as we know, this case is the smallest one in age that percutane- ous VSD closure was done in the same session with ASD closure. A 4-month-old boy with tachypnea, tachycardia diagnosed to have aneursymatic perimembranous ventricular sep- tal defect (VSD) sized 4 mm and atrial septal defect (ASD) sized 8 mm. Anti-congestive treatment was started, but despite to the treatment, his symptoms continued and he was hospitalized 3 times for lower respiratory tract infec- tions. Surgery was found as too risky because his lung parenchyma was not good and body weight was low. There- fore, transcatheter closure was planned. VSD was closed with 4 × 4 Amplatzer® Ductal Occluder II device, ASD with 9 mm-sized Amplatzer® Septal Occluder. In his first month control: his body weight increased to 6.2 kg. In conclusion, percutaneous ASD, VSD closure is being done safely in children, but for the first time, percutaneous VSD closure was done in an infant with low body weight in the same session with ASD closure successfully. This case will be an encouraging example for the future.

Keywords: ASD VSD Infant Percutaneous Closure