Key result
Malaligned ASOD deployment for VSD closure causes tricuspid stenosis and regurgitation requiring surgical retrieval.
Why the study?
Few cases of tricuspid stenosis as a complication after asymmetrical septal occluder device deployment for ventricular septal defect closure have been reported.
Case Report (n=1)
Echocardiographic evaluation of the tricuspid and aortic valves is crucial during and after ventricular septal occluder device deployment to detect rare complications like tricuspid stenosis.
Asymmetrical septal occluder device (ASOD) has made percutaneous closure of ventricular septal defect an easy and effective management option. Although there are reports of aortic and tricuspid valvular regurgitation after deployment of ASOD, only few cases of tricuspid stenosis (TS) has been reported so far in the literature. We report a case of malaligned ASOD that occurred after successful device closure resulting in TS along with mild tricuspid and aortic regurgitation requiring surgical retrieval. Transesophageal echocardiography played crucial role in detecting the cause of tricuspid valve dysfunction besides providing continuous monitoring during the procedure. We intend to emphasize the need of echocardiographic evaluation of the tricuspid valvular apparatus and aortic valve during and after the device deployment even after the successful device closure to prevent this rare complication.
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Munirathinam et al. (2018) conducted a case report in Ventricular septal defect (n=1). Asymmetrical septal occluder device (ASOD) was evaluated on Tricuspid stenosis and regurgitation requiring surgical retrieval. Deployment of a malaligned asymmetrical septal occluder device for ventricular septal defect closure resulted in tricuspid stenosis and regurgitation requiring surgical retrieval.
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