Key result
Transcatheter Amplatzer VSD closure results in paradoxical embolism and AMI in a 2-year-old.
Why the study?
Paradoxical embolism causing acute myocardial infarction is a rare complication after transcatheter closure of ventricular septal defect using foreign materials.
Case Report (n=1)
Paradoxical embolism leading to acute myocardial infarction is a rare but important potential complication following transcatheter VSD closure with an Amplatzer device.
Warrants vigilance for paradoxical embolism after pediatric Amplatzer VSD closure; leaves open optimal prevention strategies.
Congenital heart diseases can be treated without surgery through advances in interventional cardiology. Complications such as infection and thrombus formation may develop due to foreign materials used during these procedures. Paradoxical embolism is a rare complication of transcatheter closure of ventricular septal defect (VSD) and could be responsible for acute myocardial infarction. Herein, we present a case of coronary thrombosis in a 2-year-old patient with VSD, which was closed with the Amplatzer VSD device. Although extremely rare, it should be considered in the appropriate clinical setting.
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Wu et al. (2016) conducted a case report in Ventricular septal defect (n=1). Transcatheter closure with Amplatzer VSD device was evaluated on Coronary thrombosis / acute myocardial infarction. Transcatheter closure of a ventricular septal defect using an Amplatzer device was complicated by paradoxical embolism leading to acute myocardial infarction in a 2-year-old patient.
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