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Lots of interesting abstracts and cases were submitted for TCTAP & AP VALVES 2020 Virtual. Below are accepted ones after thoroughly reviewed by our official reviewers. Don’t miss the opportunity to explore your knowledge and interact with authors as well as virtual participants by sharing your opinion!

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• Abstracts

• Cases

CASE20191001_002

STRUCTURAL HEART DISEASE - Congenital Heart Disease (ASD, PDA, PFO, VSD)
Percutaneous Closure of Post-Traumatic Ventricular Septal Defects by PDA Device
Tung Son Nguyen1
Viet Duc Hospital, Vietnam1,
[Clinical Information] - Patient initials or identifier number: T.K.D -Relevant clinical history and physical exam: •      Male patient, 33 years old.History: Normal. A stab wound in the left anterior chest presented with knives lodged in the 7thleft intercostal spacethat moved with the heartbeat.Examination: Awake but restless and in severe chest pain, with cardiac tamponade, dyspnea, hypotension, and elevated central venous pressure.  -Relevant test results prior to catheterization: •       X-rays: Left pleural effusion, enlargement of cardiac shadow (The cardiothoracic ratio (CTR) 55%).Echo(before OR): Pericardia effusion, cardiac tamponade, perforation of Right ventricle. No VSD.Ms-CT: Left pleural effusion, pericardia effusion. - Relevant catheterization findings: -       A large muscular VSD near the apex (8mm).-       Pulmonary arteries pressure:+ Main: 37/17/26(L) branch: 31/21/26(R) branch: 36/16/25-       Qp/Qs: 2.5/1-       Rp/Rs: 0.1-       PVR: 2.57 Wood unit. Unnamed1.mov
[Interventional Management] - Procedural step: •       Vessels accesses : Femoral artery and vein (Right side) – A = 6Fr, V = 5Fr.•       Local sedation.•       From A: -       Left Ventricle Angiography (position and size of muscular VSD).-       IM catheter + Terumo wire aLV aVSD (near the apex) aRV aPulmonary Artery.•       From V:-       MP catheter + Terumo wire aPA aChanging Multi Snare to catching Terumo wire from Left side aArteriovenous Loop.•       Advancing Delivery 9Fr aSVC aRA aRV aVSD aLV aaAorta.•       Decide to use PDA Occluded Device 16*18 mm•       Check LV Angiography and TTE: No shunt, no evidences of valves damages. Unnamed2.mov Unnamed3.mov - Case Summary: •       Percutaneous closure of a post-traumatic VSD using a PDA Occluder device is feasible, safe and effective.•       Needmore experience is warranted before recommending widespread use of the PDA Occluder in this procedure.•       Andlong-term resultsare still a big question….

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