Key result
Percutaneous closure of a postinfarction ventricular septal defect and an iatrogenic left ventricular free-wall perforation was successfully performed using two Amplatzer muscular VSD occluders.
Case Report (n=1)
This case demonstrates the feasibility of using Amplatzer muscular VSD occluders to percutaneously close both a postinfarction VSD and a complicating iatrogenic left ventricular free-wall perforation in a single session.
Successful single-session closure supports technical feasibility; hypothesis-generating and leaves open need for prospective safety data.
A 83-year-old woman underwent percutaneous closure of postinfarction ventricular septal defect following anteroseptal myocardial infarction and percutaneous coronary intervention with stent implantation of the left anterior descending coronary artery. Postinfarction percutaneous ventricular septal defect closure was initially complicated by an iatrogenic left ventricular free-wall perforation. Both defects were closed using two Amplatzer muscular VSD occluders during the same session.
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Eshtehardi et al. (2009) conducted a case report in Postinfarction ventricular septal defect and iatrogenic left ventricular free-wall perforation (n=1). Percutaneous closure using two Amplatzer muscular VSD occluders was evaluated. Percutaneous closure of a postinfarction ventricular septal defect and an iatrogenic left ventricular free-wall perforation was successfully performed using two Amplatzer muscular VSD occluders.
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