Key result
Transcatheter VSD closure linked to lower mortality and morbidity compared to surgery.
Observational
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Post-traumatic ventricular septal defects (VSD) can occur after acute MI or iatrogenically after invasive surgical procedures. Emergency surgery is associated with high perioperative mortality and postsurgical shunt in up to 20% of patients. Transcatheter closure (TCC) of post MI VSD may be an alternative that avoids the high risk of surgery. We report a lower mortality and morbidity than surgical closure in the post infarction VSD's even with a short interval between defect occurrence and percutaneous device placement. Furthermore, in patients with a failed or suboptimal surgical result adjunctive percutaneous closure may be beneficial and offers an alternative to redo VSD repair. Finally, in patients who suffer an unexpected traumatic VSD post surgical procedure, percutaneous closure offers an alternative with excellent results.
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Martinez et al. (2006) conducted an observational in Ischemic (post-MI) and post-traumatic/iatrogenic ventricular septal defects (VSD). Transcatheter closure (percutaneous device placement) vs. Surgical VSD closure or redo VSD repair was evaluated on Mortality and morbidity. Transcatheter closure of post-infarction and post-traumatic VSD yielded lower mortality and morbidity than surgery, where postsurgical shunts occur in up to 20%.
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