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Journal of Case Reports
Simultaneous Percutaneous Transcatheter Closure of ASD and VSD
Harsha Basappa1, Sachin Rao1, Srinidhi Hegde1, C. N. Manjunath2
1Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Mysore; 2Department of Cardiology, SJICSR, Bangalore, Karnataka, India.
Corresponding Author:
Dr. Sachin Rao
Email: rao.sachin86@gmail.com
Received: 31-MAR-2020 Accepted: 27-JUN-2020 Published Online: 05-JUL-2020
DOI: http://dx.doi.org/10.17659/01.2020.0036
Background: The most common types of congenital heart defects (CHDs) are septal defects. However, combined atrial septal defect (ASD) and ventricular septal defect (VSD) are infrequently reported. Trans-catheter interventions serve as a suitable alternative to surgery. However simultaneous closure of ASD and VSD in a single patient under single procedure is rarely reported. We report a case of successful simultaneous closure of both septal defects at the same session. Case Report: The patient is a 22 year old male with 12 mm ostium secundum ASD and 8 mm subaortic VSD noted on transthoracic echocardiography with significant shunt. VSD was closed from arterial route by forming an arterio-ventricular loop. Subsequently ASD was closed. Post-procedure was uneventful. Conclusion: Simultaneous percutaneous closure of combined septal defects is a suitable alternative to surgical closure. We report such a rare case of combined closure which sets an example for future endeavors. 
Keywords : Congenital Heart Defects, Dyspnea, Fatigue, Echocardiography, Heart Septal Defects.
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