title: Transcatheter closure of a ruptured ventricular septum after myocardial infarction using a venous approach.
abstract: 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.
authors.affiliation: Kerckhoff-Klinik, Benekestrasse 2-8, 61231, Bad Nauheim, Germany. a.elsaesser@kerckhoff.mpg.de
authors.forename: A
authors.initials: A
authors.lastname: Elsässer
authors.forename: H
authors.initials: H
authors.lastname: Möllmann
authors.forename: H
authors.initials: H
authors.lastname: Nef
authors.forename: T
authors.initials: T
authors.lastname: Dill
authors.forename: R
authors.initials: R
authors.lastname: Brandt
authors.forename: W
authors.initials: W
authors.lastname: Skwara
authors.forename: T
authors.initials: T
authors.lastname: Hennig
authors.forename: M
authors.initials: M
authors.lastname: Rau
authors.forename: C
authors.initials: C
authors.lastname: Hamm
mesh_terms: 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