Why the study?
Post-myocardial infarction ventricular septal rupture remains associated with high morbidity and mortality despite improvements in medical and surgical therapies.
Percutaneous closure of post-MI ventricular septal rupture using an Amplatzer atrial septal occluder can be successful but may be complicated by device deformation such as a cobrahead deformity.
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Percutaneous closure offers a potential less-invasive salvage option for post-MI ventricular.
In the modern era of reperfusion therapy, the incidence of post-myocardial infarction ventricular septal rupture has dramatically decreased by <1%, but unfortunately, it is still associated with high morbidity and mortality despite improvements in medical and surgical therapies. Percutaneous device closure of post-myocardial infarction ventricular septal rupture may be an alternative to surgical repair, with the advantage of immediate shunt reduction to prevent hemodynamic deterioration, especially in high-risk patients. Herein we report a case of post-myocardial infarction ventricular septal rupture which was successfully closed with an amplatzer atrial septal occluder device accompanied by cobrahead deformity in the right ventricular disc.
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Demır et al. (2022) studied this question.
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