Key result
Transcatheter closure of postinfarction VSD is complicated by aneurysm rupture requiring surgical repair.
Case Report (n=1)
Highlights the high risk of aneurysm perforation during transcatheter closure of postinfarction VSDs with concurrent left ventricular aneurysms.
Perforation risk warrants caution in transcatheter post-MI VSD closure with aneurysm; leaves open optimal strategy in this anatomy.
Ventricular septal defect concurrent with left ventricular aneurysm is unusual in postinfarction patients. The complex anatomy is challenging for occluder deployment in transcatheter closure and associated with high risk of aneurysm perforation. We present a case of transcatheter closure of a large postinfarction ventricular septal defect with an Amplatzer septal occluder in a 71-year-old woman, complicated with aneurysm rupture and cardiac tamponade and corrected with surgical repair.
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Ying Hsuan Tai (2015) conducted a case report in Postinfarction ventricular septal defect concurrent with left ventricular aneurysm (n=1). Transcatheter closure with an Amplatzer septal occluder was evaluated. Transcatheter closure of a large postinfarction ventricular septal defect with an Amplatzer septal occluder in a 71-year-old woman was complicated by aneurysm rupture requiring surgical repair.
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