VSD Occluder

A 44 year-old female patient had medical history of ventricular septal defect since childhood and was regularly followed up at CV OPD. Ventricular septal defect (VSD) is a hole or a defect in the septum that divides the 2 lower chambers of the heart, resulting in communication between the ventricular cavities. It may occur as a primary anomaly, with or without additional major associated cardiac defects such as tetralogy of Fallot, complete atrioventricular canal defects, transposition of great arteries. Isolated small size VSDs close spontaneously by the age of 2 years, which is most frequently observed in muscular defects (80%), followed by perimembranous defects (35-40%). Unclosed VSDs causes left to right shunt, resulting in LV volume overload, aneurysm formation, aortic valve prolapse, pulmonary vascular disease…etc. Beside traditional treatment with open heart surgical repair, VSD occluder becomes an innovative choice of minimally invasive procedure. CV doctors got the vascular access through femoral artery and the ipsilateral femoral vein. The defect was measured at the end of diastole in the view that showed the best profile of the defect. Under transoesophageal echocardiographic and fluoroscopic monitoring, CV doctor delivered the device through the secure arteriovenous loop and push it to the defect location. The anesthesiologist checked the VSD occluder position, observing the presence of residual shunt, aortic regurgitation, and the tricuspid valve movement. The VSD occluder was deployed carefully. Repeated TEE and angiography were done which showed no malposition and other complications. The patient weaned the endotracheal tube immediately after the procedure at the catheter room then was sent to cardiovascular care unit for 24-hour hemodynamic intensive monitoring. She was discharged after 2 days smoothly.

 

 

 Yi20160719091123418 fa7e9

Yi20160719090421244 ddc0dYi20160719091302341 e6d37Yi20160719105435654 9a12a

回應  

#617 Warren 2019-01-21 22:41
Its such as you learn my thoughts! You seem to know so much approximately this, such as you wrote the
e-book in it or something. I believe that you just
can do with a few p.c. to power the message house a bit, however instead of that, this is fantastic blog.
A great read. I'll certainly be back.

My weblog; casino online Malaysia: http://www.bufetguardia.com/online-gaming-favourite-activity/
引用
#616 Marylyn 2019-01-20 15:29
There are always good times in any relationship.
Is it possible to imagine nice to read a different relationship we hold had!
Which usually is a lot to ask when really like both contestants.


my homepage :: casino slot machines with bonus
rounds: http://www.calendaroccasions.com/__media__/js/netsoltrademark.php?d=918Kiss.host%2F71-playboy-casino
引用
#615 Alisa 2019-01-20 13:57
Informative article, exactly what I needed.



Here is my web-site :: lpe88 download android: https://kasino.vin/downloads/70-download-lpe88
引用
#614 Darrin 2019-01-20 13:32
First, analyze the website your link will go on. Find
out if occasion ranked high for its keywords, domain name, and title.
Get her to pose with the bird or lie personally
with the hamster.

Also visit my blog :: newtown casino online play: http://polymax.com.tw/images/info.php?a%5B%5D=%3Ca+href%3Dhttp%3A%2F%2Fwww.talenttelevision.com%2F__media__%2Fjs%2Fnetsoltrademark.php%3Fd%3D918kiss.host%252F74-ntc33-newton-casino%3Erubiks+slot+casino+game%3C%2Fa%3E
引用
#613 Grazyna 2019-01-20 12:08
Thanks on your marvelous posting! I quite enjoyed
reading it, you're a great author. I will be sure to bookmark your blog and will often come
back later in life. I want to encourage that you continue your
great work, have a nice weekend!

Feel free to surf to my blog post - ocean king nunawading: http://srv12.cineteck.net/phpinfo/?a%5B%5D=%3Ca+href%3Dhttp%3A%2F%2Fwww.rbspr.com%2F__media__%2Fjs%2Fnetsoltrademark.php%3Fd%3Dkasino.vin%252Fdownloads%252F67-download-joker123%3Ehow+to+win+ocean+king+2%3C%2Fa%3E
引用
#612 Derick 2019-01-20 11:43
We are a gaggle of volunteers and opening a new scheme in our community.
Your site provided us with useful information to work on.
You've performed an impressive task and our entire neighborhood shall be grateful
to you.

Check out my website: scr888: http://aubaby.com/__media__/js/netsoltrademark.php?d=www.nhotel.com%2F__media__%2Fjs%2Fnetsoltrademark.php%3Fd%3DKasino.games
引用
#611 Eric 2019-01-20 08:48
We wonder how long it uses for the SEO cowboys to learn though.
Possibilities a associated with home businesses that you might wish feel.


Here is my web site; live poker
stream wsop: http://www.babythrive.com/__media__/js/netsoltrademark.php?d=918kiss.bid%2Fgames%2Fntc33
引用
#610 Yanira 2019-01-20 08:44
It is typically used for a side business as well.
Each one the pages on expenses will have their own page authority.
It is these programs that may more than anything else.


Here is my weblog - live casino shelbyville indiana: http://Jobjungbi.com/?a%5B%5D=%3Ca+href%3Dhttp%3A%2F%2Fsveba.net%2Fbitrix%2Frk.php%3Fgoto%3Dhttp%3A%2F%2F918Kiss.poker%2Fdownloads%3Eslot+mobile+benin%3C%2Fa%3E
引用
#609 Jennifer 2019-01-20 06:17
The ogling could increase his libido and desire.
But that didn't help me because my teacher thought I was
trying to behave smart. Visual displays could be ineffective
if you find yourself using the same ideas over and more than.

Review my web blog playboy casino wiki: http://www.pathfindermetrics.net/__media__/js/netsoltrademark.php?d=918kiss.poker%2Fcasino-games%2F72-playboy-casino
引用
#608 Johnette 2019-01-20 04:51
You want people to obtain to generally. Use keywords of your topic in your headline,
frequent lowering and raising paragraphs. Anything worth having
is never easy to own.

My blog post most trusted online casino: http://918.credit/casino-games/rollex-11
引用
#607 Brayden 2019-01-20 00:57
Search engine optimization has evolved for each individual.
Particularly with all the bull that seems being floating around in IM forums, blogs and rrnternet sites.
Before you hire, check writing specimens.

Feel free to surf to my web blog :: slot mobile shop lagos: http://key20media.net/__media__/js/netsoltrademark.php?d=iedint.com%2F__media__%2Fjs%2Fnetsoltrademark.php%3Fd%3D918kiss.bid%2Fgames%2Face333
引用
#606 Herman 2019-01-20 00:27
How can you sustain all of this when you're employed a full time job?

Another for you to generate money from web site is from google adsense.
There are involving important issues, one should
take care.

Have a look at my blog post ... 2264 w live oak: http://www.afforum.org/node/39/track
引用
#605 Francine 2019-01-20 00:03
Wonderful website you have here but I was curious about if you knew of
any message boards that cover the same topics discussed here?
I'd really like to be a part of community where I can get comments from other experienced people that
share the same interest. If you have any recommendations, please let me
know. Many thanks!

my web-site :: mega888 casino: https://kasino.vin/downloads/69-download-mega888
引用
#604 Odette 2019-01-19 23:08
Just what your belief about the markets on the whole?
For example, this procedure can advice about sagging happens in the mid-face.
There is really a need for a lot of patience while buying a motorhome.


Look into my web blog; 918kiss green: http://Www.balsamincense.com/__media__/js/netsoltrademark.php?d=bestcasinojobs.livejournal.com
引用
#603 Mavis 2019-01-19 18:01
Did your behavior change during your relationship? A primary
Fear of Success is the fear of accountability. Listening to the
small "Stop" voice was dangerous, because I would disappoint folk.


Here is my page; joker123
download: https://918kiss.host/77-joker123
引用
#602 Franklin 2019-01-19 13:52
These search engines are smarter than we understood.
The Smoothie Freeze Machine by Back To Basics
can be a great blender to use for rattles. There are many article directories on the
planet Wide Vast.

Here is my web blog scr888 best
company: http://magentotesting.avbportal.com?a%5B%5D=%3Ca+href%3Dhttp%3A%2F%2Fonlinecasino4nl.com%2Fonline-casino-virtual-but-an-exciting-gaming-experience%2F%3E918kiss+for+pc%3C%2Fa%3E
引用
#601 Kris 2019-01-19 04:19
There is no need to get up, get dressed and drive to some
destination. In addition, there are always others that arise constantly.

The squares get caught in place on the grid of the bonus
game puzzle.

Stop by my web-site - games allow interaction: http://Hamiltonyachts.net/__media__/js/netsoltrademark.php?d=Ezproxy.uzh.ch%2Flogin%3Furl%3Dhttp%3A%2F%2Fkslot.app%2Findex.php%2Fgames%2F918kiss
引用
#600 Siobhan 2019-01-19 04:06
Submissions are all supplement as a powerful information along with your product on will
probably be. Specific factors in life are coded in such an opportunity that you have to learn them you
and your family.

Feel free to visit my weblog :: l22: https://918kiss.host/downloads
引用
#599 Halley 2019-01-19 00:07
continuously i used to read smaller articles or reviews that as well
clear their motive, and that is also happening with this paragraph which I am reading
now.

Here is my web-site - sky777 apk: https://918.network/downloads/88-sky777
引用
#598 Zandra 2019-01-18 21:45
As a piece of text marketer, essential know right now there is an article for anything and everything.
It is important to reach all audiences, those online and offline.
Advertise on recognized websites and appearance engines.


Here is my web-site: scr888 lucky draw: http://www.xmovs.com/user/3277328/NorineElsb/info
引用
#597 Terrence 2019-01-18 21:08
Greetings! Quick question that's entirely off topic. Do you know how to make your site mobile friendly?
My blog looks weird when browsing from my apple iphone.

I'm trying to find a template or plugin that might be able to resolve this issue.
If you have any recommendations, please share. Thank you!

Also visit my blog post: ace333 apk download: https://918.network/downloads/89-ace333
引用
#596 Jack 2019-01-18 20:01
Numerous reasons can be got from various forums, blogs
and articles acquireable free from the internet.
Its advisable for your new player to study the game continually.
It is perfectly fine to play live roulette for stimulating.f

Here is my homepage gaming news: http://travelwriting.org/__media__/js/netsoltrademark.php?d=918kiss.party%2Fhome%2Fjoker123%2F946-joker123
引用
#595 Cecil 2019-01-18 19:57
Hmm is anyone else encountering problems with the
images on this blog loading? I'm trying to determine if its
a problem on my end or if it's the blog. Any feed-back would be greatly appreciated.


My blog post: mega bonus 888 poker: http://execudeal.com/__media__/js/netsoltrademark.php?d=kasino.vin%2Fdownloads%2F69-download-mega888
引用
#594 Williemae 2019-01-18 19:34
Choosing the perfect gift for a specific person is a difficult task to can do.

Instead, just laugh, tease him or ignore his practices.
Calling increase date rigtht after a date will seem extremely frantic.


Feel free to surf to my website; joker123 download: https://918kiss.host/77-joker123
引用
#593 Teena 2019-01-18 17:32
Get her to pose with the bird or lie personally with the hamster.
I cannot say until this book is a miracle, nevertheless can express
that this book is highly effective. Use a rose print paper and include quotes about roses.


My web-site ... 918kiss: https://jom.fun/
引用
#592 Petra 2019-01-18 16:16
This is really interesting, You're a very skilled blogger.

I've joined your feed and look forward to seeking more of your
great post. Also, I've shared your site in my social networks!


Take a look at my web site: joker online casino
malaysia: http://storeit4less.com/__media__/js/netsoltrademark.php?d=www.gxquan.net%2Fhome.php%3Fmod%3Dspace%26uid%3D1081947%26do%3Dprofile%26from%3Dspace
引用
#591 Liam 2019-01-18 10:35
Consider SEO India , for effective search engine optimization service for little.
Even people who'd not call themselves creative have excelled in this develop.

It is a fun read, well , I hope it is!

My web site - live casino free spins: http://www.sunflowercreative.com/cms/modules/site_settings/phpinfo.php?a%5B%5D=%3Ca+href%3Dhttp%3A%2F%2Fnancity.com%2F__media__%2Fjs%2Fnetsoltrademark.php%3Fd%3D918.credit%252Fdownloads%252F89-download-ace333%3Eslot+jar+mobile%3C%2Fa%3E
引用
#590 Shelli 2019-01-18 10:20
I do trust all the concepts you've introduced on your post.
They are really convincing and can definitely work.
Still, the posts are too brief for beginners. Could you please extend them a little from
subsequent time? Thank you for the post.

Feel free to surf to my web blog fifa mobile player roulette skill: http://jbrandstyle.in/__media__/js/netsoltrademark.php?d=918.network%2Fcasino-games%2F74-mega888
引用
#589 Bruno 2019-01-18 10:18
This would be a good page retain a lock of hair on. Unfortunately internet search engine
spiders cant view the wonderful pictures on your web pages.
You will often hear or read that Meta tags are useless anymore.


my homepage :: scr888 kiss free download: http://thecatholicchannel.com/__media__/js/netsoltrademark.php?d=porbtisidd.mihanblog.com%2Fpost%2Fcomment%2Fnew%2F280%2Ffromtype%2Fpostone%2Ffid%2F15367329005b98aee4b191e%2Fatrty%2F1536732900%2Favrvy%2F0%2Fkey%2F18a0b6abfd5f0ff7d8917ae039e1b3b6%2F
引用
#588 Devin 2019-01-18 02:04
Paralyzed from the waist down since birth he's now 33 and trains 3 times
7 days. In her search for answers, she stops by your website and is intrigued with what you
have to offer.

Feel free to surf to my homepage :: cant download scr888: http://www.golfbase.com/__media__/js/netsoltrademark.php?d=918.credit%2Fdownloads%2F78-download-918kiss-for-android-and-iphones
引用
#587 Gus 2019-01-17 21:46
Remarkable! Its in fact amazing paragraph, I have got much clear idea
concerning from this article.

Also visit my page - joker123 apk: https://kasino.vin/downloads/67-download-joker123
引用
#586 Sandra 2019-01-17 20:27
Basically, you want to have high pagerank sites are actually related aimed at
your blog pointing for. The truth is not really a technique that will hold a worldwide feat
that you.

Feel free to visit my web-site ... casino slot machines
winners: http://altfarm.mediaplex.com/ad/ck/5158-131324-15583-1?mpu_token=AAAFsa-3N9YgjgAFCY46AAAAAAA&mpt=1&mpre=http%3A//918kiss.bid%2Fgames%2Fplayboy&status=2
引用
#585 Gladis 2019-01-17 19:50
So in order to do that, simply click through rate must improve.
Keywords are the words that people type into Google when they
are looking for something specific. You need find out what oodles of flab
. to optimize.

Here is my site; scr888 download: https://918kiss.bid/games/918kiss-scr888
引用
#584 Elyse 2019-01-17 18:15
Ensure you they're relevant, interesting, and informative.
These would be people you are going to promote to
many times again. Mull over why don't wish to is so powerful.


Here is my blog post; rollex11 login: https://918kiss.bid/games/rollex-11
引用
#583 Delphia 2019-01-17 17:33
Can I simply just say what a comfort to discover
someone that really understands what they're talking about over the internet.

You actually realize how to bring a problem to light and make it important.
More people need to check this out and understand this side of the story.
I was surprised you are not more popular given that you surely possess the gift.



Feel free to visit my site joker game 123: http://www.rro.ch/cms/ee/index.php/redirect?url=http://kasino.vin/home/joker-123/56-joker123
引用
#582 Sol 2019-01-17 15:40
Online Blackjack has method odds associated with online casinos market.
For that, you have many places on the websites. This e-book gives information on "how to play and win the game".



my web page; mobile casino hire kent: http://Www.Mincultri.ru/bitrix/rk.php?goto=http://www.kingsandqueensonline.com/918kiss-most-popular-online-slot-game
引用
#581 Cornell 2019-01-17 08:09
Heya i'm for the first time here. I found this board and I find It really useful scr888 jammer: http://Bsmithsolutions.com/comment/html/?57831.html
引用
#580 Willie 2019-01-17 05:11
But remember, the gesture is merely about the voice, posture, eye contact or signs.
In fact, it must help you greatly written the
best speech. Make them criticize your draft spoken communication.

Take a look at my page; slot mobile lagos: http://pickerbd.com/__media__/js/netsoltrademark.php?d=scr888.group%2Fother-games-download%2F2498-download-mega888
引用
#579 Kirsten 2019-01-17 04:43
Each and every always express appreciation regarding pushing us to make those knobs.
Brand new behaviour use the printer replace
old behaviour must be planned over!

Feel free to surf to my homepage :: is live roulette rigged: http://zak-x.com/__media__/js/netsoltrademark.php?d=www.Kcasino.org%2Fwhat-you-need-to-know-about-online-casino-malaysia%2F
引用
#578 Adan 2019-01-16 22:17
Pretty! This was an extremely wonderful post. Many thanks for providing this info.


Check out my web site ... office design online software: http://www.amsearch.com/__media__/js/netsoltrademark.php?d=www.virtuelnet.net%2Fmodules.php%3Fname%3DYour_Account%26op%3Duserinfo%26username%3DTillyHampt
引用
#577 Lynwood 2019-01-16 20:17
Read more by clicking here to go to this unique decorating article now.

You provide to teach at the local community college or
hold a class. Employ of the facility of Hi5.

Visit my webpage chippy van live 22: http://schoolson.com.au/forsale/?domain=kasino.games%2Fhome%2Flive-22%2F59-live22
引用
#576 Adrianne 2019-01-16 15:09
Hi there, this weekend is nice in support of me, for the reason that
this moment i am reading this impressive informative article here
at my house.

my webpage :: casino slot games
pc download: http://Bax.kz/redirect?url=http://www.bluetube.com.au/Redirect.aspx?destination=http://kasino.vin/downloads/73-download-3win8
引用

新增回應


安全碼
更新

交通資訊