ABC | Volume 111, Nº2, August 2018

Case Report Santos et al Traumatic VSD Closure with ASD Occluder Arq Bras Cardiol. 2018; 111(2):223-225 1. Rollins MD, Koehler RP, Stevens MH, Walsh KJ, Doty DB, Price RS, et al. Traumatic ventricular septal defect: case report and review of the English literature since 1970. J Trauma. 2005;58(1):175-80. 2. Dehghani P, Ibrahim R, Collins N, Latter D, Cheema AN, Chisholm RJ. Post-traumatic ventricular septal defects--review of the literature and a novel technique for percutaneous closure. J Invasive Cardiol. 2009;21(9):483-7. 3. Martinez MW, Mookadam M, Mookadam F. A case of hemolysis after percutaneous ventricular septal defect closure with a device. J Invasive Cardiol. 2007;19(7):E192-4. 4. Pesenti-Rossi D, Godart F, Dubar A, Rey C. Transcatheter closure of traumatic ventricularse ptaldefect:analternativetosurgery.Chest .2003;123(6):2144-5. 5. SuhWM,KernMJ.TranscatheterclosureofatraumaticVSDinanadultrequiring an ASDoccluder device. Catheter Cardiovasc Interv. 2009;74(7):1120-5. References This is an open-access article distributed under the terms of the Creative Commons Attribution License the device, which causes mechanical fragmentation of erythrocytes. Although there are reports of chronic hemolysis, it is usually self-resolving. 3 Like previous cases, 4,5 we encountered the same complication. Our patient remained asymptomatic and the hemolysis resolved without the need of blood transfusions. Conclusion Transcatheter devices can be selected as the first choice for closing traumatic VSD. We demonstrate that ASD Occluder can be successfully implanted and that acceptable clinical effectiveness can be achieved. 225