Key result
Transcatheter closure of a large complex ventricular septal defect in a patient with inferior myocardial infarction and cardiogenic shock resulted in a fatal outcome despite technical success.
Case Report (n=1)
Transcatheter closure of post-MI ventricular septal rupture in the setting of cardiogenic shock can be technically successful but may still result in a fatal outcome.
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Fatal outcome despite technical success in post-MI VSR closure warrants caution; leaves open the need for safety data in larger cohorts.
Elective transcatheter closure of congenital septal defects has emerged as a valuable method, but the clinical experience on occlusion of ventricular septal rupture after myocardial infarction is very limited. We report a case of fatal outcome in a patient with inferior myocardial infarction and cardiogenic shock despite technically successful transcatheter closure of a large complex ventricular septal defect.
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Schiele et al. (2003) conducted a case report in Ventricular septal rupture after inferior myocardial infarction and cardiogenic shock (n=1). Transcatheter closure was evaluated on Fatal outcome. Transcatheter closure of a large complex ventricular septal defect in a patient with inferior myocardial infarction and cardiogenic shock resulted in a fatal outcome despite technical success.
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