Phan QT, Kim SW, Nguyen HL. Percutaneous closure of congenital Gerbode defect using Nit-Occlud® Lê VSD coil. World J Cardiol 2017; 9(7): 634-639 [PMID: 28824794 DOI: 10.4330/wjc.v9.i7.634]
Corresponding Author of This Article
Quang T Phan, MD, Cardiovascular Intervention Department, Quang Nam Central General Hospital, Nui Thanh, Quang Nam 562409, Vietnam. quangft@gmail.com
Research Domain of This Article
Cardiac & Cardiovascular Systems
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Cardiol. Jul 26, 2017; 9(7): 634-639 Published online Jul 26, 2017. doi: 10.4330/wjc.v9.i7.634
Percutaneous closure of congenital Gerbode defect using Nit-Occlud® Lê VSD coil
Quang T Phan, Sang-Wook Kim, Hieu L Nguyen
Quang T Phan, Hieu L Nguyen, Cardiovascular Intervention Department, Quang Nam Central General Hospital, Nui Thanh, Quang Nam 562409, Vietnam
Sang-Wook Kim, Chung-Ang University Hospital, Cardiovascular Intervention Center, Donjak-gu, Seoul 06973, South Korea
Author contributions: All authors contributed to the acquisition of data, writing, and revision of this manuscript.
Institutional review board statement: This case report was reviewed and approved by Quang Nam Central General Hospital Institutional Review Board.
Informed consent statement: The patient involved in this case report gave his written informed consent authorizing use and disclosure of her protected health information.
Conflict-of-interest statement: All the authors have no conflicts of interests to declare.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Quang T Phan, MD, Cardiovascular Intervention Department, Quang Nam Central General Hospital, Nui Thanh, Quang Nam 562409, Vietnam. quangft@gmail.com
Telephone: +84-510-3870390 Fax: +84-510-3567234
Received: October 23, 2016 Peer-review started: October 23, 2016 First decision: January 14, 2017 Revised: January 29, 2017 Accepted: May 3, 2017 Article in press: May 5, 2017 Published online: July 26, 2017 Processing time: 276 Days and 4.6 Hours
Abstract
We present a case report about percutaneous closure of a congenital Gerbode defect using Nit-Occlud® Lê VSD coil. The patient was referred to our hospital with a diagnosis of ventricular septal defect (VSD) and severe pulmonary arterial hypertension. But transthoracic echocardiography revealed a communication between the left ventricle (LV) and the right atrial (RA), called Gerbode defect. Catheterization confirmed the shunt from the LV to the RA. We successfully closed the defect with a VSD coil. After uneventful 6 mo follow-up, the patient was out of dyspnea, the symptom urged him to have medical attention. This case report is to discuss the diagnosis and percutaneous treatment approach for this rare congenital heart disease.
Core tip: Congenital Gerbode defect is rare, only accounts for about 0.08% among congenital heart diseases. The diagnosis is easily misinterpreted with others condition on clinical examination and echocardiography. The treatment of this disease is also lack of recommendation. There are several approaches can be applied for this kind of defect such as conservation, cardiac surgery, intravascular intervention or intraoperative device closure. There are several devices can be used for transcatheter closure such as ventricular septal occluder, atrial septal occluder, ADO I or ADO II. This is the first report using Nit-Occlud® Lê VSD coil to close Gerbode defect successfully.
