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05/08/2026

MUBASSHIRA, a nightmare case.
- Age: 6M | Gender: Female | Weight: 4.8 kg | Hb%: 10.8 g/dl
- History: Repeated RTI, H/O anorectal malformation
- Diagnosis: Large PDA- 6 mm, , AS, Mild COA
- Procedure: PDA device closure, Device size: 10/8

Initially 10x8 device selected but it was not crossing the delivery system. We change cable to thick one and failed . PTS haemodynamics became unstable. We decided to use MFO through JR guide catheter. MFO 8x6 appeared small with residual shunt . It caused coarctation also. So we removed this device. Later we changed PDA delivery system of 6f new one. This time we crossed with 10x8 device with difficulty. Ultimately were able to do it with10x8 ADO. We pressed the device with 8x3 tyshak balloon and gave the aortic disc concave shape. No coarctation was noticed at the end . Procedure took 90 mins.

BSH Intervention Day05.08.264 cases of PDA device closure, 1 cases of VSD device closure, 1 cases of ASD device closure ...
05/08/2026

BSH Intervention Day
05.08.26

4 cases of PDA device closure, 1 cases of VSD device closure, 1 cases of ASD device closure & 1 cases of BVP for PS.

1. TAJIM
- Age: 11M | Gender: Female | Weight: 7kg | Hb%: 9 g/dl
- History: Repeated RTI, Reluctant to feed, Failure to thrive.
- Diagnosis: large PDA- 4 mm
- Procedure: PDA device closure, Device size: 8/6 cocoon

2. MORIUM
- Age: 11 M | Gender: Female | Weight: 8.2 kg | Hb%: 9.9 g/dl
- History: Repeated RTI, Reluctant to feed, Failure to thrive.
- Diagnosis: Large PDA- 5.5 mm,MOD COA,
- Procedure: PDA device closure, Device size: 8/6 cocoon. Balloon coarctoplasty postponed as there was no gradient across descending aorta

3. MUBASSHIRA, a nightmare case.
- Age: 6M | Gender: Female | Weight: 4.8 kg | Hb%: 10.8 g/dl
- History: Repeated RTI, H/O anorectal malformation
- Diagnosis: Large PDA- 6 mm, , AS, Mild COA
- Procedure: PDA device closure, Device size: 10/8

Initially 10x8 device selected but it was not crossing the delivery system. We change cable to thick one and failed . PTS haemodynamics became unstable. We decided to use MFO through JR guide catheter. MFO 8x6 appeared small with residual shunt . It caused coarctation also. So we removed this device. Later we changed PDA delivery system of 6f new one. This time we crossed with 10x8 device with difficulty. Ultimately were able to do it with10x8 ADO. We pressed the device with 8x3 tyshak balloon and gave the aortic disc concave shape. No coarctation was noticed at the end . Procedure took 90 mins .

4. AZAN
- Age: 7.6 Y | Gender: Male | Weight: 20 kg | Hb%: 13 g/dl
- History: Repeated RTI, Reluctant to feed, h/o febrile seizure once
- Diagnosis: small PM VSD
- Procedure: VSD device closure, Device size6/4 MFO
5. SANA
- Age: 14 Y | Gender: F | Weight:4 8 kg | Hb%: 10.8 g/dl
- History: , Repeated RTI, chest pain.shortness of breath,palpitation,h/o anorexia nervosa
- Diagnosis: MOD PDA
- Procedure: PDA device closure, Device size: 10/8

6. NURUL HAQUE
- Age: 38 Y | Gender: male | Weight: 44 kg | Hb%: 14 g/dl
- History: . effort intolerance ,fungal lesion in thigh folds,h/o varicocele [operated]
- DiagnosisASD 13MM
- Procedure: ASD device closure, Device size: 24

7. UZZAL
- Age: 18Y | Gender: male | Weight: 30 kg | Hb%: 17 g/dl
- History: Repeated RTI, Effort intolerance, Palpitation,
- Diagnosis: SEVERE PS
- Procedure: BVP FOR PS balloon size: 16x4 mm Tyshak 2.

BSH Intervention Day03.08.266 cases of PDA device closure, 1cases of coronary cameral Fistula & 1cases of ASD device clo...
03/08/2026

BSH Intervention Day
03.08.26

6 cases of PDA device closure, 1cases of coronary cameral Fistula & 1cases of ASD device closure.

1. Jenifa Hoque
- Age: 3.9 Y | Gender: Female | Weight: 14 kg | Hb%: 12.3 g/dl
- History: Repeated RTI, Reluctant to feed, Failure to thrive.
- Diagnosis: Small PDA- 3.5 mm
- Procedure: PDA device closure, Device size: 8/6 cocoon

2. Shaheera Islam
- Age: 6 M | Gender: Female | Weight: 6.5 kg | Hb%: 11.3 g/dl
- History: Excessive sweating, H/O neonatal jaundice (got phototherapy)
- Diagnosis: Large PDA- 3 mm
- Procedure: PDA device closure, Device size: 6x4 cocoon

3. Hafsa Islam
- Age: 3.1 Y | Gender: Female | Weight: 10 kg | Hb%: 10.7 g/dl
- History: Repeated RTI, H/O skin allergy,
- Diagnosis: Large PDA- 5.5 mm, SAM, MS, Mild MVP
- Procedure: PDA device closure, Device size: 12x10

4. Redowan
- Age: 2.2 Y | Gender: Male | Weight: 8.5 kg | Hb%: 10.3 g/dl
- History: Repeated RTI, Reluctant to feed, Failure to thrive.
- Diagnosis: Large PDA- 4.7 mm, PFO
- Procedure: PDA device closure, Device size: 14x12.

5. Arham
- Age: 1 Y | Gender: Male | Weight: 8 kg | Hb%: 10.5 g/dl
- History: H/O bluish coloration of lips & fingers at neonatal stage, Repeated RTI, Mild cough for 3 days.
- Diagnosis: Coronary cameral Fistula
- Procedure: Fistula device closure, Device size:10/8
Aortography showed large long Fistula from LCA to RV with two narrow points in the course.
LCA engaged with left coronery catheter. Wire crossed to RV and exchanged with JR guide catheter of 6 french . 10x6 MFO device loaded to loader and forwarded to Fistula. First disc released to distal part after first constriction, later rest. Part of the device released and positioned . Coronaries are checked frequently to see whether they are free from obstruction by device. Last aortography showed good LCA branches fillings and no residual shunt through Fistula.

6. Diya Moni
- Age: 4.6 Y | Gender: Female | Weight: 13.5 kg | Hb%: 13 g/dl
- History: Repeated RTI, H/O pneumonia, Poor weight gain, H/O febrile seizure once, H/O epistaxis 1 month back.
- Diagnosis: Large tubular
PDA- 5.6 mm
- Procedure: PDA device closure, Device size: 10/8

7. Niha
- Age: 5.7Y | Gender: Female | Weight: 16 kg | Hb%: 11.3 g/dl
- History: Repeated RTI, Effort intolerance, Palpitation, Poor weight gain, H/O UTI.
- Diagnosis: Large PDA- 5.7 mm
- Procedure: PDA device closure, Device size: 8/6 cocoon device

8. Khadija
- Age: 6.5Y | Gender: Female | Weight: 17 kg | Hb%: 11.7 g/dl
- History: Repeated RTI, H/O pneumonia, Effort intolerance, Poor weight gain, H/O Allergy & UTI.
- Diagnosis: Large ASD: 14-16 mm, I-13, S-11, IAS- 41 mm
- Procedure: ASD device closure, Device size: 24.

1st follow up of TPVR with venous p valve on 01/07/2026.
01/08/2026

1st follow up of TPVR with venous p valve on 01/07/2026.

8 years old boy. Had COA stenting with CP stent 39 mm & inflated with z-med balloon 14x40mm on 01/07/2026.Today his firs...
01/08/2026

8 years old boy. Had COA stenting with CP stent 39 mm & inflated with z-med balloon 14x40mm on 01/07/2026.
Today his first follow up.

15 years old girl. Had AP window device closure on 2016. Patient discharged today from follow up.
29/07/2026

15 years old girl. Had AP window device closure on 2016.
Patient discharged today from follow up.

29/07/2026

RAJBIR
- Age: 17D | Gender:male | Weight: 3.5 kg | Hb%: g/dl
- History: feeding difficulty,repeted RTI
- Diagnosis: : CTGA,PA,VSD,PDA
- Procedure: PDA stenting was performed after a long trial of crossing wire through PDA . It took about one hour to get a stable position with change of multiple wires lastly Ashai one gave good result and 4mm x 18mm coronary stent implanted.

BSH Intervention Day29.07.26One case of PDA stenting in 17 days old baby , one VSD device closure in Fenestrated VSD, fo...
29/07/2026

BSH Intervention Day
29.07.26

One case of PDA stenting in 17 days old baby , one VSD device closure in Fenestrated VSD, four PDA device closure and two ASD device closure were performed today. Seven cases were performed in 3 hours and PDA stenting in 75 minutes .

1. jannatul
- Age: 2.2Y | Gender: Female | Weight: 9 kg | Hb%: 12.6 g/dl
- History: Repeated RTI, H/O excess sweating, Common cold and cough
- Diagnosis: moderate PDA- 3mm,moderate AS ,PLSVC
- Procedure: PDA device closure, Device size:6/4, cocoon
2. Aysha
- Age: 2Y | Gender: Female | Weight: 8.3 kg | Hb%: 11.2 g/dl
- History: Repeated RTI, days, Feeding Difficulties, Reluctant to feed, - Diagnosis: Large PDA: 4.8 mm,
- Procedure: PDA device closure, Device size: 8/6.

3. RAWNAF TUBA
- Age: 8.9Y Gender: Female | Weight: 13 kg | Hb%: 12.1 g/dl
- History: DOWN SYNDROME ,Repeated RTI, H/O skin allergy,
- Diagnosis: large PDA- 4.6 mm, severe PAH , marked bradycardia.
- Procedure: PDA device closure, Device size: 8x6 cocoon.
PAH persisting after closure . Chance of hypertensive crisis is very high .

4. TAHLID
- Age: 4Y | Gender: male | Weight: 17 kg | Hb%: 11.2 g/dl
- History: : Respiratory distress at neonatal period, , Repeated RTI
- Diagnosis: MOD ASD- 7mm I-10,S-9,IAS-26
- Procedure: ASD device closure, Device size: 10/12

5 RAJBIR
- Age: 17D | Gender:male | Weight: 3.5 kg | Hb%: g/dl
- History: feeding difficulty,repeted RTI
- Diagnosis: : CTGA,PA,VSD,PDA
- Procedure: PDA stenting was performed after a long trial of crossing wire through PDA . It took about one hour to get a stable position with change of multiple wires lastly Ashai one gave good result and 4mm x 18mm coronary stent implanted .

6. NABILA
- Age: 10Y | Gender: Female | Weight: 20kg | Hb%: 12.2 g/dl
- History: Repeated RTI, Effort intolerance, Palpitation, Occasional Chest pain,
- Diagnosis: : small PDA- 1.6 mm
- Procedure: PDA device closure, Device size: ADO 11, size 5/3


7. ABRAR
- Age: 4Y | Gender: male | Weight: 11.7 kg | Hb%: 10.8 g/dl
- History: Repeated RTI, Effort intolerance,
- Diagnosis: MOD PM VSD: 4 mm
- Procedure: ASD device closure, Device size: 7/5 MFO

8. MOUMITA
- Age: 6.10Y | Gender: Female | Weight: 20 kg | Hb%: 12.4 g/dl
- History: Repeated RTI, Effort intolerance,
- Diagnosis: SMALL TO MOD ASD: 6 mm, I-12, S-11, IAS- 28mm
- Procedure: ASD device closure, Device size: 10 mm cocoon.

BSH Intervention Day27.07.26Basic need 5 cases .5 cases of ASD device closure & 3 cases of PDA device closure.1. SUFRA(B...
27/07/2026

BSH Intervention Day
27.07.26

Basic need 5 cases .

5 cases of ASD device closure & 3 cases of PDA device closure.

1. SUFRA(Basic need)
- Age: 1.9Y | Gender: Female | Weight: 7 kg | Hb%: 11.5 g/dl
- History: Repeated RTI, H/O excess sweating, Common cold and cough
- Diagnosis: Large PDA- 4.8mm
- Procedure: PDA device closure, Device size: 10/8

2. AFISHA
- Age: 1.10Y | Gender: Female | Weight: 9.4 kg | Hb%: 11 g/dl
- History: Repeated RTI, H/O Pneumonia for twice, Cough and Cold for 10 days, Feeding Difficulties, Reluctant to feed, H/O excess sweating
- Diagnosis: Large ASD: 8 mm, I-8, S-9, IAS- 24 mm
- Procedure: ASD device closure, Device size: 12 mm cocoon

3. RUMAISA (Basic need)
- Age: 6M| Gender: male | Weight: 4.5 kg | Hb%: 10.5 g/dl
- History: Repeated RTI, H/O Pneumonia, Cough and Cold for 15 days, Feeding Difficulties, FTT, H/O Seizure?
- Diagnosis: Large PDA- 5 mm, Small ASD
- Procedure: PDA device closure, Device size: 10/8 cocoon

4. NOWRIN
- Age: 5M | Gender: Female | Weight: 4.1 kg | Hb%: 11.5 g/dl
- History: : Respiratory distress at neonatal period, Need NICU support due to PNA and Pneumonia, Repeated RTI
- Diagnosis: Large PDA- 5mm
- Procedure: PDA device closure, Device size: 10/8 cocoon

5. JUHANA (Basic need)
- Age: 10Y | Gender: Female | Weight: 20 kg | Hb%: 11.7 g/dl
- History: Repeated Fever and vomiting, FTT, Effort intolerance, Palpitation,
H/O Measles 1 month before
- Diagnosis: : Large ASD: 15 mm, I-11, S-10, IAS- 36 mm
- Procedure: ASD device closure, Device size: 22 mm cocoon

6. SOHAN (Basic need)
- Age: 16Y | Gender: Male | Weight: 27kg | Hb%: 16.2 g/dl
- History: Repeated RTI, Effort intolerance, Palpitation, Occasional Chest pain, H/O Allergy
- Diagnosis: : Large ASD: 11 mm, I-10, S-11, IAS- 36 mm
- Procedure: ASD device closure, Device size: 16 mm cocoon


7. PURNIMA (Basic need)
- Age: 21Y | Gender: Female | Weight: 40 kg | Hb%: 14.8 g/dl
- History: Repeated RTI, Effort intolerance, Palpitation, Occasional Chest pain
- Diagnosis: Large ASD: 24 mm, I-15, S-10, IAS- 46 mm
- Procedure: ASD device closure postponed for severe pulmonary hypertension.

8. SUBORNA
- Age: 35Y | Gender: Female | Weight: 53 kg | Hb%: 11.9 g/dl
- History: Repeated RTI, Effort intolerance, Palpitation, Cough
- Diagnosis: Large ASD: 24 mm, I-18, S-18, IAS- 60 mm
- Procedure: ASD device closure, Device size: 38 mm cocoon.

5 years old girl. Had PDA device closure on 16/06/2023. Today Echo, ECG & x ray normal. Discharged from follow up.
25/07/2026

5 years old girl. Had PDA device closure on 16/06/2023.
Today Echo, ECG & x ray normal.
Discharged from follow up.

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