Novel method for delivering the Amplatzer® muscular VSD occluder in a patient with double outlet right ventricle after bidirectional Glenn procedure and pulmonary artery band Conflict of interest: Nothing to report.

Abstract

We report the first use of bilateral femoral venovenous rail creation for the delivery of an Amplatzer® Muscular Ventricular Septal Defect Occluder in a patient with a large mid-to-apical muscular ventricular septal defect before Rastelli operation. The presence of a right-sided bidirectional Glenn shunt, a banded main pulmonary artery, and double outlet right ventricle anatomy precluded the use of standard delivery techniques. The patient underwent successful transcatheter device placement followed by Rastelli operation on the following day. © 2009 Wiley-Liss, Inc.