Key result
Percutaneous closure of an iatrogenic ascending aortic perforation using an 8-mm muscular ventricular septal defect occluder was successfully performed without complications.
Why the study?
Ascending aortic perforation is a rare complication of transseptal puncture that often requires emergency management.
Case Report (n=1)
No
Percutaneous closure of an iatrogenic ascending aortic perforation using a muscular VSD occluder is a feasible and effective emergency treatment approach in hemodynamically stable patients.
BACKGROUND: Ascending aortic perforation is a rare complication of the transseptal puncture procedure that often requires emergency management. CASE PRESENTATION: We report the case of a 53-year-old woman with severe mitral stenosis (MS) who underwent percutaneous balloon mitral valvuloplasty (PBMV). After the transseptal puncture procedure, a right atrium-iatrogenic ascending aortic perforation was observed. An 8-mm muscular ventricular septal defect (VSD) occluder was then successfully used for emergency closure. CONCLUSION: Percutaneous closure of ascending aortic perforations via a muscular VSD occluder is a feasible treatment approach.
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Song et al. (2025) conducted a case report in Ascending aortic perforation (n=1). Transcatheter closure with a muscular ventricular septal defect (VSD) occluder was evaluated on Closure of ascending aortic perforation. Percutaneous closure of an iatrogenic ascending aortic perforation using an 8-mm muscular ventricular septal defect occluder was successfully performed without complications.
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