Transcatheter Closure of VSD and Surgical Removal of PA Band

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Transcatheter Closure of VSD and Surgical Removal of PA Band

By Pediatric and Adult Interventional Cardiac Symposium FEATURING David Nykanen

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March 12, 2014

History:

• Multiple muscular VSD’s (Large Apical VSD)

• Double orifice mitral valve (No MS/MR) ...
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• PA Band October 18, 2010

• Asymptomatic

Physical Findings:

• Wt: 10 kg, SpO2 99% in Room Air

• 3/6 harsh SEM. No DM

• No hepatomegaly or ascites

Pertinent Tests:

EKG:

• Sinus, RBBB, RVH

Echo:

• Large posterior apical VSD

• Additional small mid to low muscular ventricular septal defects.

• Double orifice mitral valve without stenosis or regurgitation, atypical mitral chordal attachments from the mitral valve extending across the left ventricular outflow tract without LVOTO ventricular outflow tract obstruction, moderate right ventricular hypertrophy, including prominent moderator band without evidence of obstruction? LV non compaction.
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