Transcatheter closure of traumatic ventricular septal defect: an alternative to surgical repair?
A 19-year-old man with multiple-system injuries including a serious head injury and two poorly tolerated traumatic ventricular septal defects, was admitted to our hospital. Transcatheter closure of the cardiac defects was attempted instead of surgical repair because the required anticoagulation for cardiopulmonary bypass could precipitate intracranial bleeding. The two ventricular septal defects were successfully closed with Amplatzer devices, but the patient remained in hemodynamically unstable condition and subsequently died. Transcatheter closure of traumatic ventricular septal defect is an alternative to surgical repair, although it remains a hazardous procedure and requires experienced anesthesia management.
Fraisse
Alain
A
Service de Cardiologie, Hôpital de la Timone, Marseille, France. afraisse@mail.ap-hm.fr
Piéchaud
Jean-François
JF
Aviérinos
Jean-François
JF
Aubert
Françoise
F
Colavolpe
Christian
C
Habib
Gilbert
G
Bonnet
Jean-Louis
JL
D000328:Adult; D006328:Cardiac Catheterization; D006335:Heart Injuries / Q000628:therapy*; D006346:Heart Septum / Q000293:injuries* / Q000601:surgery; D006352:Heart Ventricles / Q000293:injuries* / Q000601:surgery; D006801:Humans; D008297:Male