Transcatheter closure of a complex postmyocardial infarction ventricular septal defect after surgical patch dehiscence.
Ventricular septal defect (VSD) complicating acute myocardial infarction is a rare but serious event carrying a high mortality. Residual shunting after emergency surgical repair is common, adversely affects prognosis and can necessitate reoperation. We describe the successful transcatheter VSD closure with the Amplatzer occluder in a 75-year old man after earlier emergency surgical repair of a VSD complicating an acute myocardial infarction. The technique and positioning of the device in a tortuous infero-apical VSD are described.
Cutfield
N J
NJ
Department of Cardiology, Green Lane Hospital, Auckland, New Zealand.
Ruygrok
P N
PN
Wilson
N J
NJ
Raudkivi
P J
PJ
Greaves
S C
SC
Gentles
T L
TL
Kerr
A J
AJ
D000368:Aged; D006328:Cardiac Catheterization; D006345:Heart Septal Defects, Ventricular / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D019736:Prostheses and Implants; D013529:Surgical Wound Dehiscence / Q000209:etiology*; D014463:Ultrasonography