Device closure of 'complex' postinfarction ventricular septal defect. (January 2015)

• Record Type: Journal Article
• Authors: Capasso, Fabio; Caruso, Aurelio; Valva, Giuseppe; Lonobile, Tommaso; Grimaldi, Maria G.; Santoro, Giuseppe
• Is Part Of: Journal of cardiovascular medicine. Volume 16(2015)Supplement 1
• Publication Date: 2015-01
• Subjects: device -- myocardial infarction -- ventricular septal defect; Cardiology -- Periodicals; Cardiovascular system -- Diseases -- Periodicals; Cardiology -- Periodicals; Cardiovascular Diseases -- Periodicals; 616.1005
• DOI: 10.2459/JCM.0b013e3283646f75
• Languages: English
• ISSNs: 1558-2027

Abstract

Abstract : Ventricular septal defect (VSD) is a life-threatening complication of acute myocardial infarction (MI), resulting in high mortality rate even in the case of a timely approach by surgical repair. Transcatheter closure is nowadays a reliable alternative to surgery, although currently deemed challenging or unsuitable in large and complex VSD. This article reports on a successful transcatheter approach in a critically ill patient with subacute right coronary-related, complex postinfarction VSD. In this patient, two sequentially deployed Amplatzer Septal Occluder devices stabilized the clinical conditions and hemodynamic parameters.