Short Term Results of Percutaneous Closure of Ventricular Septal Defects on the Left Ventricle

Abstract

V entricular septal defect (VSD) is the most common congenital heart disease, accounting for 40% of all congenital heart diseases. Echocardiography is the investigation of choice for diagnosis of VSD. Although surgical option is the gold standard in management of ventricular septal defect, percutaneous closure is considered a suitable alternative in perimembranous ventricular septal defect. The study included 18 patients with ventricular septal defect who are referred for percutaneous closure of VSD to Ain Shams University Hospital from June 2015 till February 2017. Our study included 12 females and 6 males with a mean age was 7.3 years (range from 2.2 to 17 years). Patients included in the study performed full echocardiographic assessment, electrocardiogram and routine examination before, immediately, one, three, six and twelve month follow up after percutaneous closure. In our study anthropometric measurements before percutaneous closure revealed subnormal growth. After percutaneous closure a significant increase in weight and height was noted by 11% and 6 % respectively. Significant hemodynamic VSD has a negative impact on growth profile. After successful percutaneous closure patients usually growth parameters normalize. Impairment of growth after VSD closure was associated with development of complications. Therefore regular anthropometric assessment is essential for follow up of patients before, and after undergoing VSD closure, and is an independent parameter for success rate.