Investigation of membranous ventricular septal defect complicated with tricuspid regurgitation in ventricular septal defect occlusion

Liu,Shu-Ping; Li,Li; Yao,Ke-Chun; Wang,Na; Wang,Jian-Chang

doi:10.3892/etm.2012.876

Investigation of membranous ventricular septal defect complicated with tricuspid regurgitation in ventricular septal defect occlusion

Authors:
- Shu-Ping Liu
- Li Li
- Ke-Chun Yao
- Na Wang
- Jian-Chang Wang
View Affiliations

Affiliations: Department of Ultrasound, Air Force General Hospital of PLA, Beijing 100142, P.R. China
Published online on: December 21, 2012 https://doi.org/10.3892/etm.2012.876
Pages: 865-869

Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )

Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )

Cited By (CrossRef): 0 citations Loading Articles...

Abstract

This study aimed to explore the mechanism of membranous ventricular septal defect complicated with tricuspid regurgitation and the significance of ventricular septal defect occlusion by echocardiography. A total of 43 patients with membranous ventricular septal defect complicated with tricuspid regurgitation were observed by echocardiography and the changes in length, area and volume of tricuspid regurgitation prior to and following ventricular septal defect occlusion were measured. There were four different mechanisms of membranous ventricular septal defect complicated with tricuspid regurgitation. The various indices of tricuspid regurgitation volume were significantly reduced following occlusion. Ventricular septal defect occlusion significantly reduces tricuspid regurgitation volume complicated with membranous ventricular septal defect and echocardiography is an ideal method to detect these changes.

View Figures

View References

1.	Look JE, Block PC, McKay RG, Baim DS and Keane JF: Transcatheter closure of ventricular septal defects. Circulation. 78:361–368. 1988. View Article : Google Scholar
2.	Kalra GS, Verma PK, Dhall A, Singh S and Arora R: Transcatheter device closure of ventricular septal defects: immediate results and intermediate-term follow-up. Am Heart J. 138:339–344. 1999. View Article : Google Scholar : PubMed/NCBI
3.	Janorkar S, Goh T and Wilkinson J: Transcatheter closure of ventricular septal defects using the Rashkind device: initial experience. Catheter Cardiovasc Interv. 46:43–48. 1999. View Article : Google Scholar : PubMed/NCBI
4.	Mullasari AS, Umesan CV, Krishnan U, Srinivasan S, Ravikumar M and Raghuraman H: Transcatheter closure of post myocardial infarction ventricular septal defect with Amplatzer septal occluder. Catheter Cardiovasc Interv. 54:484–487. 2001. View Article : Google Scholar : PubMed/NCBI
5.	Hijazi ZM, Hakim F, Haweleh AA, et al: Catheter closure of perimembranous ventricular septal defects using the new Amplatzer membranous VSD occluder: Initial clinical experience. Catheter Cardiovasc Interv. 56:508–515. 2002. View Article : Google Scholar
6.	Bass JL, Kalra GS, Arora R, et al: Initial human experience with the Amplatzer perimembranous ventricular septal occluder device. Catheter Cardiovasc Interv. 58:238–245. 2003. View Article : Google Scholar : PubMed/NCBI
7.	Pawelec-Wojtalik M, Masura J, Siwińska A, et al: Transcatheter closure of perimembranous ventricular septal defect using an Amplatzer occluder - early results. Kardiol Pol. 61:31–41. 2004.PubMed/NCBI
8.	Pinto RJ, Dalvi BV and Sharma S: Transcatheter closure of perimembranous ventricular septal defects using amplatzer asymmetric ventricular septal defect occluder: preliminary experience with 18-month follow up. Catheter Cardiovasc Interv. 68:145–152. 2006. View Article : Google Scholar
9.	Eshaghpour E, Kawai N and Linhart JW: Tricuspid insufficiency associated with aneurysm of the ventricular septum. Pediatrics. 61:586–592. 1978.PubMed/NCBI
10.	Ogus NT, Naseri E and Arsan S: Congenital tricuspid insufficiency due to a cleft in tricuspid anterior leaflet associated with perimembranous VSD. An unusual case report. Turk J Pediatr. 40:627–628. 1998.PubMed/NCBI
11.	Hagler DJ, Squarcia U, Cabalka AK, Connolly HM and O’Leary PW: Mechanism of tricuspid regurgitation in paramembranous ventricular septal defect. Am Soc Echocardiogr. 15:364–368. 2002. View Article : Google Scholar : PubMed/NCBI
12.	Wu MH, Chang CI, Wang JK and Lue HC: Characterization of aneurysmal transformation in perimembranous ventricular septal defects: an adhered anterior leaflet of tricuspid valve predisposes to the development of left ventricular-to-right atrial shunt. Int J Cardiol. 47:117–125. 1994. View Article : Google Scholar
13.	Desai RV, Seghatol-Eslami F, Nabavizadeh F and Lloyd SG: Unusual mechanism of tricuspid regurgitation in ventricular septal defect. Echocardiography. 28:E36–E38. 2011. View Article : Google Scholar : PubMed/NCBI
14.	Mertens L, Meyns B and Gewillig M: Device fracture and severe tricuspid regurgitation after percutaneous closure of perimembranous ventricular septal defect: a case report. Catheter Cardiovasc Interv. 70:749–753. 2007. View Article : Google Scholar
15.	Holzer R, de Giovanni J, Walsh KP, et al: Transcatheter closure of perimembranous ventricular septal defects using the amplatzer membranous VSD occluder: immediate and midterm results of an international registry. Catheter Cardiovasc Interv. 68:620–628. 2006. View Article : Google Scholar
16.	Hornberger LK, Sahn DJ, Krabill KA, et al: Elucidation of the natural history of ventricular septal defects by serial Doppler color flow mapping studies. J Am Coll Cardiol. 13:1111–1118. 1989. View Article : Google Scholar : PubMed/NCBI
17.	Tandon RH and Edwards JE: Aneurysmlike formations in relation to membranous ventricular septum. Circulation. 47:1089–1097. 1973. View Article : Google Scholar : PubMed/NCBI
18.	Magherini A, Urciuolo A, Tommassini CR, et al: Restrictive tissue in the area of perimembranous ventricular septal defect. Cross-sectional and Doppler echocardiographic study. Eur Heart J. 11:601–610. 1990.
19.	Ramaciotti C, Keren A and Silverman NH: Importance of (perimembranous) ventricular septal aneurysm in the natural history of isolated perimembranous ventricular septal defect. Am J Cardiol. 57:268–272. 1986. View Article : Google Scholar : PubMed/NCBI
20.	Beerman LB, Park SC, Fischer DR, et al: Ventricular septal defect associated with aneurysm of the membranous septum. J Am Coll Cardiol. 5:118–123. 1985. View Article : Google Scholar : PubMed/NCBI