A perimembranous ventricular septal defect (7 mm) and an ostium secundum atrial septal defect (8.9 mm) detected in a 22-year-old woman were simultaneously treated with the use of two transcatheteroccluder systems. The procedure was performed under intravenous midazolam anesthesia and fluoroscopic and echocardiographic (transesophageal) control. First, the perimembranous ventricular septal defect was closed using a 9-mm Amplatzer membranous septaloccluder, then the secundum atrial septal defect was closed using an 11-mm Amplatzer atrial septaloccluder. No procedure-related complication occurred and the patient was discharged the next day on clopidogrel treatment.
Keywords: Heart catheterization, heart septal defects, atrial/therapy; heart septal defects, ventricular/therapy; septal occluder device