Key result
Transcatheter closure with Amplatzer occluders successfully repairs double ventricular rupture and pseudoaneurysm without residual shunting.
Case Report (n=1)
No
Transcatheter closure is a feasible alternative for patients with residual ventricular septal rupture or pseudoaneurysm after surgical repair of post-infarction VSR.
Transcatheter closure may be considered for select post-MI VSR cases; case report leaves open need for prospective outcome data.
Ventricular septal rupture (VSR) is a fatal complication of acute myocardial infarction.The incidence of VSR is increasingly rare in the percutaneous coronary intervention era but mortality rate remains high.The key to management of this critical condition is an aggressive approach to hemodynamic stabilization and surgical closure of the rupture.In some patients, transcatheter closure may be considered as an alternative way of treatment.There were several case series demonstrated that percutaneous closure as a bridge to surgery improves outcome of patient who has VSR with hemodynamic ally unstable.Wepresent a case who received transcatheter closure of double ventricular rupture with pseudoaneursym after initial surgical repairment of post infarction ventricular septal rupture.
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Chin Chang Cheng (2018) conducted a case report in Double ventricular rupture with pseudoaneurysm complicating acute myocardial infarction (n=1). Transcatheter closure was evaluated on Clinical symptom improvement and residual shunt. Transcatheter closure using Amplatzer occluders successfully treated a double ventricular rupture with pseudoaneurysm, resulting in improved clinical symptoms and no residual shunt at 3 months.
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