Transcatheter closure of a ruptured ventricular septum after myocardial infarction using a venous approach.
A 65-year old patient was admitted after having sustained a ventricular septum rupture 18 days after an anterior myocardial infarction. He developed acute heart failure. Given the extremely high perioperative risk in surgical approaches in this setting, we decided for a transcatheter closure of the defect with an exclusively venous approach. After a complete recovery, the patient underwent open heart surgery with aorto coronary bypass, aneurysmectomy, and removal of the closure device. This case demonstrates that transcatheter closure of a post infarction ventricular septum rupture is a technically feasible and suitable method.
Elsässer
A
A
Kerckhoff-Klinik, Benekestrasse 2-8, 61231, Bad Nauheim, Germany. a.elsaesser@kerckhoff.mpg.de
Möllmann
H
H
Nef
H
H
Dill
T
T
Brandt
R
R
Skwara
W
W
Hennig
T
T
Rau
M
M
Hamm
C
C
D000368:Aged; D006328:Cardiac Catheterization / Q000379:methods*; D013504:Cardiovascular Surgical Procedures / Q000379:methods*; D006333:Heart Failure / Q000209:etiology / Q000601:surgery; D006346:Heart Septum / Q000293:injuries* / Q000601:surgery*; D006352:Heart Ventricles / Q000293:injuries* / Q000601:surgery*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications / Q000601:surgery*; D012421:Rupture / Q000175:diagnosis / Q000209:etiology / Q000601:surgery