Key result
Transcatheter closure of an acute post-myocardial infarction ventricular septal rupture using an Amplatzer occluder device resulted in successful closure with no residual shunt and survival at six years.
Why the study?
Does transcatheter closure using an Amplatzer PIMVSD occluder device improve outcomes in a patient with acute post-MI VSR?
Case Report (n=1)
No
Does transcatheter closure using an Amplatzer PIMVSD occluder device improve outcomes in a patient with acute post-MI VSR?
Transcatheter closure of acute post-MI VSR using an Amplatzer PIMVSD occluder can be a viable and successful alternative to high-risk surgery in selected patients with suitable anatomy.
Answers are grounded in this paper and cite their sources.
Case report suggests acute transcatheter PIVSD closure feasible in select patients; leaves open role versus surgery pending prospective data.
Ventricular septal rupture (VSR) is an uncommon but serious complication of acute myocardial infarction (MI), associated with a high mortality rate. Although early surgical treatment improves the prognosis, hospital mortality after emergency surgery remains high. Transcatheter closure of postmyocardial infarction ventricular septal defect (PIVSD) has emerged as a potential strategy in selected cases. Current interventional reports are mainly restricted to PIVSD closure in the chronic and subacute setting, which only give a short term result. Herein, we report a case of acute post-MI VSR that was successfully closed using an Amplatzer postinfarction muscular ventricular septal defect (PIMVSD) occluder device with good immediate and long-term outcomes. The patient had undergone urgent coronary artery bypass surgery 3 days earlier in the setting of acute MI.
No takes yet. Share an insight, caveat, or question.
Shabestari et al. (2015) conducted a case report in Acute post-myocardial infarction ventricular septal rupture (n=1). Transcatheter closure using Amplatzer PIMVSD occluder device was evaluated on Survival and residual shunt. Transcatheter closure of an acute post-myocardial infarction ventricular septal rupture using an Amplatzer occluder device resulted in successful closure with no residual shunt and survival at six years.
Synapse has enriched 10 related papers. Consider them for comparative context: