ASD and VSD Closure

1. Non Surgical intervention in ASD and VSD

2. ASD

4. LA RA RUPV RV

5. LA LA RA RA Fig 9

18. VSD

22. Pathophysiology Shunt Qp/Qs P/A systolic pressure ratio Restrictive VSD Small 1~1.4 <0.3 Moderately restrictive VSD Moderate 1.4~2.2 0.3~0.66 Nonrestrictive VSD Large >2.2 >0.66 Eisenmenger VSD Right to left <1 1

25. Coarc Stent Repair

27. THE FUTURE Improved Accuracy for Repair of Complex CHD Real time 3-D imaging Interventional cath IMPROVED CONTRAST AGENTS