Key result
Transcatheter VSD closure with the Amplatzer occluder was successfully performed in a 75-year-old man with a complex postmyocardial infarction ventricular septal defect after surgical patch dehiscence.
Case Report (n=1)
Transcatheter closure using an Amplatzer occluder can be a successful strategy for complex post-MI VSDs with surgical patch dehiscence.
Successful transcatheter Amplatzer closure may be feasible for residual post-MI VSD after surgery; leaves open need for prospective trials.
Ventricular septal defect (VSD) complicating acute myocardial infarction is a rare but serious event carrying a high mortality. Residual shunting after emergency surgical repair is common, adversely affects prognosis and can necessitate reoperation. We describe the successful transcatheter VSD closure with the Amplatzer occluder in a 75-year old man after earlier emergency surgical repair of a VSD complicating an acute myocardial infarction. The technique and positioning of the device in a tortuous infero-apical VSD are described.
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Cutfield et al. (2005) conducted a case report in Postmyocardial infarction ventricular septal defect after surgical patch dehiscence (n=1). Transcatheter VSD closure with the Amplatzer occluder was evaluated on Successful transcatheter VSD closure. Transcatheter VSD closure with the Amplatzer occluder was successfully performed in a 75-year-old man with a complex postmyocardial infarction ventricular septal defect after surgical patch dehiscence.
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