Abstract
We present a case of transcatheter closure of a traumatic ventricular septal defect (VSD), in which simultaneous 3-dimensional (3D) transesophageal echocardiography (TEE) and angiography played a critical role in defect sizing, device selection, and procedural guidance.
Highlights
A 17-year-old man with no significant medical history suffered multiple stab wounds to the abdomen and chest
We present a case of transcatheter closure of a traumatic ventricular septal defect (VSD), in which simultaneous 3-dimensional (3D) transesophageal echocardiography (TEE) and angiography played a critical role in defect sizing, device selection, and procedural guidance
We elected to proceed with transcatheter closure of the VSD in the hybrid operating room, with planned open conversion if unable to complete percutaneously
Summary
A 17-year-old man with no significant medical history suffered multiple stab wounds to the abdomen and chest. We present a case of transcatheter closure of a traumatic ventricular septal defect (VSD), in which simultaneous 3-dimensional (3D) transesophageal echocardiography (TEE) and angiography played a critical role in defect sizing, device selection, and procedural guidance. Echocardiography revealed a traumatic VSD with left to right shunting, depressed RV function, and borderline left ventricular (LV) function. Invasive hemodynamic assessment revealed a significant left to right shunt (Qp/ Qs 1.8), but no pulmonary hypertension.
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