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ASD and VSD Closure
1.
Non Surgical intervention
in ASD and VSD
2.
ASD
3.
4.
LA RA RUPV
RV
5.
LA LA RA
RA Fig 9
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
VSD
19.
20.
21.
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
23.
24.
25.
Coarc Stent Repair
26.
27.
THE FUTURE Improved
Accuracy for Repair of Complex CHD Real time 3-D imaging Interventional cath IMPROVED CONTRAST AGENTS
28.
29.