Real-time three-dimensional echocardiography is a useful tool for guiding transcatheter closure of post-myocardial infarction ventricular septal defects.
Supports RT3D guidance in post-MI VSD closure; hypothesis-generating case report requiring prospective validation before practice change.
We present an adult patient who had an acute myocardial infarction complicated by a ventricular septal defect and had it repaired percutaneously. Real-time three-dimensional echocardiography (RT3D) before and during the closure procedure were performed. RT3D provided anatomical and functional information of the defect as well as real-time guidance during the procedure. This case highlights the utility of three-dimensional echocardiography in guiding transcatheter procedures.
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Halpern et al. (2009) studied this question.
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