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Closure of a large perimembranous ventricular septal defect in a 4.8 kg baby with Down syndrome using a duct occluder
Journal of the Saudi Heart Association. 2014; 26 (2): 111-116
in English | IMEMR | ID: emr-141951
ABSTRACT
A 9.5-month-old boy with Down syndrome, weighing 4.8 kg, presented with history of failure to thrive. Clinically, he had symptoms and signs of congestive heart failure. His echocardiogram showed a large perimembranous ventricular septal defect [pmVSD] with some inlet extension covered by a large aneurysmal tissue with multiple right ventricular [RV] exits. Additionally, he had hypothyroidism and Hirschsprung disease. Instead of closing the VSD surgically, the VSD was successfully closed utilizing an 8 × 6 mm duct occluder. The baby remained in the intensive care unit for one night. The day after the procedure, the infant was stable and showed clinical improvement. Electrocardiogram [ECG] showed normal sinus rhythm with no evidence of heart block. Twenty-four hours later, echocardiography showed the device was in an excellent position, with a small residual leak. There was normal tricuspid valve inflow and normal aortic valve outflow with no significant valvar insufficiency. The baby was discharged after 3 days in stable condition. We believe infants with such co-morbidities which might complicate their post-operative course and prolong the intensive care unit admission, might benefit from such alternative management
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Index: IMEMR (Eastern Mediterranean) Main subject: Down Syndrome / Septal Occluder Device / Infant Type of study: Case report Limits: Humans / Male Language: English Journal: J. Saudi Heart Assoc. Year: 2014

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Index: IMEMR (Eastern Mediterranean) Main subject: Down Syndrome / Septal Occluder Device / Infant Type of study: Case report Limits: Humans / Male Language: English Journal: J. Saudi Heart Assoc. Year: 2014