title: Postinfarction ventricular septal defect with pseudoaneurysm repair after failed percutaneous closure.
abstract: Ventricular septal defect with intramyocardial dissection of the ventricular free wall is a rare complication of myocardial infarction associated with poor prognosis. We describe a patient who developed a ventricular septal defect with intramyocardial dissection of the right ventricular free wall. Initially the patient was successfully stabilized by the placement of a percutaneous closure device. The placement of the device allowed initial hemodynamic recovery of the patient and subsequent definitive surgical repair. This case illustrates the importance of collaboration between interventional cardiologists and cardiac surgeons in the treatment of complex postinfarction ventricular septal defects.
authors.affiliation: Department of Surgery, Brigham and Women's Hospital, Boston, Massachusetts 02115, USA.
authors.forename: Subroto
authors.initials: S
authors.lastname: Paul
authors.forename: Tomislav
authors.initials: T
authors.lastname: Mihaljevic
authors.forename: Marzia
authors.initials: M
authors.lastname: Leacche
authors.forename: Michael
authors.initials: M
authors.lastname: Landzberg
authors.forename: Carolyn Y
authors.initials: CY
authors.lastname: Ho
authors.forename: Gavin J
authors.initials: GJ
authors.lastname: Blake
authors.forename: John G
authors.initials: JG
authors.lastname: Byrne
mesh_terms: D017541:Aneurysm, False / Q000209:etiology* / Q000601:surgery; D017073:Atherectomy; D003327:Coronary Disease / Q000150:complications / Q000601:surgery; D006345:Heart Septal Defects, Ventricular / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications* / Q000601:surgery*; D015607:Stents; D017211:Treatment Failure