عيب الحاجز البطيني مع ارتفاع ضغط الشريان الرئوي المتطور (PVR ≥5 WU) وتحويل يساري-يميني معتد به

References

In patients who have developed PAH with PVR ≥5 WU, VSD closure may be considered when there is still significant LR shunt (Qp:Qs >1.5), but careful individual decision in expert centres is required.

Surgical closure can be performed with low operative mortality (1–2%) and good long-term results.

Transcatheter closure has become an alternative, particularly in residual VSDs, in VSDs that are poorly accessible for surgical closure, and in muscular VSDs that are located centrally in the interventricular septum.

DOI: 10.1093/eurheartj/ehaa554