Simultaneous transcatheter treatment of perimembranous ventricular septal defect and secundum atrial septal defect in an adult: first application in Turkey

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.