Amjad Mehmood, Khurram Akhtar, Syeda Sadia Hina Kazmi, Mehboob Sultan, Nadim Sadiq, Aziz Ahmed, Hajira Akbar, Maad Ullah, Hafsa Inam.
Transcatheter device closure of perimembranous ventricular septal defect from right ventricular approach without arterio- venous loop.
Pak Armed Forces Med J Jan ;69(Suppl1):S5-10.

Objective: To evaluate the safety and efficacy of transcatheter closure for Perimembranous Vetrntricularseptal defect (pm VSD) without arteriovenous (AV) loop. The most common congenital heart defect is PMVSD. Trans-catheter closure of PMVSD without AV loop is a recently described technique with limited results for follow-up. Study Design: Retrospective analytical study. Place and Duration of Study: Paediatric Cardiology, Armed Forces Institute of Cardiology and National Institute of Heart Diseases, Rawalpindi Pakistan, from Jan 2015 to Oct 2018. Method and Methods: Total of 30 patients with PMVSD were enrolled in this retrospective analytical study and treated percutaneously with VSD occluders. Results: All patients were followed up to date. According to colour Doppler transthoracic echocardiography the mean +- SD end-diastolic PMVSD size was 4.87 +- 1.32mm. Placement of the device was successful in all patients (100%) and the mean +- SD device size 7 +- 1.58mm. During follow-up, No major adverse events were reported. Conclusions: In experienced hands, transcatheter PMVSD closure without AV loop can be performed safely and successfully with low morbidity and mortality. Short-term results are favorable, and the transcatheter approach provides a less-invasive alternative that may become the first choice in selected pmVSD patients.

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