The patient is a 15-year-old female who was born with VSD. She underwent percutaneous VSD closure using a 6-mm Amplatze.Since then,she has been doing remarkable well with normal cardiac condition. We see her occasionally to check her rhythm since there is a risk of associated heart block with this device. She came today with her husband with no specific complaint. Her ECG showed normal sinus rhythm,and she had no echocardiography but they did not show up yesterday.