Hekim KARAPINAR, Hasan Ali GÜMRÜKÇÜOĞLU, İbrahim GÜL, Zekeriya KÜÇÜKDURMAZ, Mehmet Burhan OFLAZ

Percutaneous closure of perimembranous and muscular ventricular septal defects in the same session in a pediatric patient

Ventriküler septal defektlerin sol kalp yetersizliği, pulmoner vasküler hastalık, Eisenmengersendromu ve enfektif endokardit gibi muhtemel komplikasyonları sebebiyle kapatılmalarıönerilmiştir. Bu defektler konvansiyonel olarak cerrahi yolla kapatılmaktadır. Son yıllardaperkütan yolla kapatma giderek yaygınlaşmaktadır. İlk olarak perkütan kapatma müskülerdefektler için bildirilmişken günümüzde perimembranöz defektlerde başarılı bir şekildekapatılabilmektedir. Bu yazıda transtorasik ekokardiyografide tek perimembranöz ventrikülerseptal defekt tespit edilen, perkütan kapatma işlemi sırasında müsküler septumda ikinci bir defektsaptanması ile aynı seansta perkütan yolla her iki defektin kapatıldığı bir çocuk olgu sunulmuştur.

Bir çocuk hastada p erimembranöz ve musküler ventriküler sep tal def ektlerin aynı seansta p erkütan yolla kap atılması

Ventricular septal defect closure is proposed because of some possible complications such as leftheart failure, pulmonary vascular disease, Eisenmenger's syndrome and infective endocarditis.These defects are conventionally closed by surgery in general practice. Percutaneous closure isbecoming increasingly common in recent years. While percutaneous closure was first reported inmuscular defects, currently it is also used successfully for perimembranous defects. In this paperwe presented a pediatric case with a single perimembranous ventricular septal defect detected ontransthoracic echocardiography examination. The muscular defect was detected during theintervention and was closed percutaneously in the same session with the perimembranous defect

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