title: Transcatheter closure of a complex postmyocardial infarction ventricular septal defect after surgical patch dehiscence.
abstract: 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.
authors.affiliation: Department of Cardiology, Green Lane Hospital, Auckland, New Zealand.
authors.forename: N J
authors.initials: NJ
authors.lastname: Cutfield
authors.forename: P N
authors.initials: PN
authors.lastname: Ruygrok
authors.forename: N J
authors.initials: NJ
authors.lastname: Wilson
authors.forename: P J
authors.initials: PJ
authors.lastname: Raudkivi
authors.forename: S C
authors.initials: SC
authors.lastname: Greaves
authors.forename: T L
authors.initials: TL
authors.lastname: Gentles
authors.forename: A J
authors.initials: AJ
authors.lastname: Kerr
mesh_terms: 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