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Fig. 2 | BMC Pediatrics

Fig. 2

From: Long-term outcomes of percutaneous closure of ventricular septal defects in children using different devices: A single centre experience from Egypt

Fig. 2

(A) LV angiography (60° left anterior oblique with 20° cranial) to determine the location and size of VSD (red arrow). (B) Retrograde approach for implanting Hyperion device across VSD (yellow arrow). (C) Antegrade approach for implanting Amplatzer muscular occluder device across VSD (yellow arrows) with LV angiography before the occluder released, LV angiography showed no residual shunt and satisfying position and shape of the occluder. (D) LV angiography after Amplatzer muscular occluder release with no residual shunt. (E) Aortic angiography demonstrating small elongated PDA (red arrow) after closing VSD with ADO I (yellow arrow). (F) Two devices are seen in place; Vascular plug II closing PDA (red arrow) and ADO I across VSD (yellow arrow)

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