# Interventional heart catheterization to close atrial septal defect, patent ductus arteriosus, ventricular septal defect in a 3.5-year-old girl; a case report study

## TL;DR

A 3.5-year-old girl had three heart defects closed using catheterization, avoiding open surgery and long hospital stays.

## Contribution

This case demonstrates successful interventional closure of multiple heart defects in a young child with minimal hospitalization.

## Key findings

- PDA and ASD were closed successfully with catheterization and short hospital stays.
- VSD was later closed using interventional methods without open heart surgery.
- The patient avoided long-term ICU admission and recovered well.

## Abstract

The aim of this study was to introduce an interventional heart catheterization to close patent ductus arteriosus (PDA), ventricular septal defect (VSD), atrial septal defect (ASD), and pulmonary hypertension without complications from open heart surgery and a 3-day hospitalization period. PDA, VSD, and ASD are among the most common abnormalities associated with various complications. This case is a 3.5-year-old girl with frequent lung infections and Failure to thrive. Treatment in the first stage aims to close the PDA using Amplatzer ADO II type AGA, size 5-6 mm and ASD using Amplatzer Septal Occluder size 15 mm. The patient was discharged the next day. Six months later, a successful interventional closure of the VSD was performed using Lifetech Symmetric Amplatzer membranous size 12 mm and patient was discharged 2 days after. All these defects were corrected without open heart surgery and the need for long-term Intensive care unitsadmission.