{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T13:25:18Z","timestamp":1758806718721,"version":"3.41.2"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2024,4,9]],"date-time":"2024-04-09T00:00:00Z","timestamp":1712620800000},"content-version":"vor","delay-in-days":12,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,3,28]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Ventricular septal defect (VSD) is the most common type of congenital heart abnormality with perimembranous VSD (pmVSD) accounting for \u223c70% of all VSD. Nowadays, transcatheter closure is the first choice for suitable pmVSD. However, there was no report about closing the large oval-shaped VSD percutaneously.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>A 34-year-old male with known VSD was referred for transcatheter closure after failed attempts in other hospital. Patient had been diagnosed with VSD at a young age, but he was lost to follow-up. He presented with shortness of breath due to heart failure and pulmonary hypertension. The initial measurement of the defect was 6\u20137\u2005mm by transthoracic echocardiography (TTE), transoesophageal echocardiography (TEE), and LV angiography. However, re-measurement using TEE and 3D echocardiography revealed that the VSD is oval with diameters of 18\u2005mm \u00d7 6\u2005mm. Initially, device No. 12\/14 was used, but it was dislodged on two attempts. The operator then decided to upsize the device size to No. 16\/18 that was successful. The patient\u2019s condition was good, and 6 months follow-up after the procedure showed good outcomes without any residual defect or arrhythmia.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>In this study, we would like to highlight the rarity of large oval pmVSD that almost failed to be closed with the conventional measurement with echocardiography and fluoroscopy. Transoesophageal echocardiography especially 3D can be the new modality of choice that might be superior to fluoroscopy to decide the right device size in some cases such as oval-shaped pmVSD.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytae170","type":"journal-article","created":{"date-parts":[[2024,4,9]],"date-time":"2024-04-09T20:19:19Z","timestamp":1712693959000},"source":"Crossref","is-referenced-by-count":1,"title":["The paramount of three-dimensional echocardiography in percutaneous closure of large oval perimembranous ventricular septal defect: a case report"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1415-0387","authenticated-orcid":false,"given":"Sisca Natalia","family":"Siagian","sequence":"first","affiliation":[{"name":"Division of Pediatric Cardiology and Congenital Heart Disease, Department of Cardiology and Vascular Medicine, National Cardiovascular Centre Harapan Kita, Universitas Indonesia , 11420 Jakarta , Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yovi","family":"Kurniawati","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology and Congenital Heart Disease, Department of Cardiology and Vascular Medicine, National Cardiovascular Centre Harapan Kita, Universitas Indonesia , 11420 Jakarta , Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,4,9]]},"reference":[{"key":"2024043015423330400_ytae170-B1","volume-title":"Moss and Adams\u2019 heart disease in infants, children and adolescents including the fetus and young adult","author":"Shaddy","year":"2022","edition":"10th ed"},{"key":"2024043015423330400_ytae170-B2","first-page":"103","article-title":"Spontaneous closure of perimembranous ventricular septal defects: a janus-faced condition","volume":"4","author":"Bride","year":"2020","journal-title":"CASE (Phila)"},{"key":"2024043015423330400_ytae170-B3","doi-asserted-by":"crossref","first-page":"300","DOI":"10.3389\/fped.2019.00300","article-title":"Device closure of perimembranous ventricular septal defect: choosing between Amplatzer occluders","volume":"7","author":"Haddad","year":"2019","journal-title":"Front Pediatr"},{"key":"2024043015423330400_ytae170-B4","first-page":"Ch. 7","volume-title":"Angiography","author":"Behzad","year":"2019"},{"key":"2024043015423330400_ytae170-B5","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1186\/s43044-021-00215-z","article-title":"Impact of percutaneous ventricular septal defect closure on left ventricular remodeling and function","volume":"73","author":"Aal","year":"2021","journal-title":"Egypt Heart J"},{"key":"2024043015423330400_ytae170-B6","first-page":"100335","article-title":"Imaging of ventricular septal defect: native and post-repair","volume":"7","author":"Fusco","year":"2022","journal-title":"In J Cardiol Congenit Heart Dis"},{"key":"2024043015423330400_ytae170-B7","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1007\/978-3-319-12934-1_54","volume-title":"Echocardiographic atlas of adult congenital heart disease","author":"Sadeghian","year":"2015"},{"key":"2024043015423330400_ytae170-B8","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1186\/1471-2261-12-21","article-title":"Atrioventricular block of intraoperative device closure perimembranous ventricular septal defects; a serious complication","volume":"12","author":"Chen","year":"2012","journal-title":"BMC Cardiovasc Disord"},{"key":"2024043015423330400_ytae170-B9","first-page":"1","article-title":"Ventricular septal defect closure devices, techniques, and outcomes","volume":"8","author":"Morray","year":"2019","journal-title":"Interv Cardiol Clin"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjcr\/advance-article-pdf\/doi\/10.1093\/ehjcr\/ytae170\/57192437\/ytae170.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/8\/4\/ytae170\/57349521\/ytae170.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/8\/4\/ytae170\/57349521\/ytae170.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,30]],"date-time":"2024-04-30T15:44:57Z","timestamp":1714491897000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytae170\/7642941"}},"subtitle":[],"editor":[{"given":"Filippo","family":"Puricelli","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Christoph","family":"Sinning","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"A Shaheer","family":"Ahmed","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Sibghat Tul","family":"Llah","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2024,3,28]]},"references-count":9,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,3,28]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytae170","relation":{},"ISSN":["2514-2119"],"issn-type":[{"type":"electronic","value":"2514-2119"}],"subject":[],"published-other":{"date-parts":[[2024,4]]},"published":{"date-parts":[[2024,3,28]]},"article-number":"ytae170"}}