Transcatheter closure of a postinfarction ventricular septal rupture.
An 84-year-old woman with cardiomyopathy secondary to severe atherosclerotic coronary artery disease presented with biventricular heart failure. She was admitted to the hospital after a non-S-T elevation myocardial infarction 5 days earlier that led to progressive congestive heart failure. A transthoracic echocardiogram revealed an apical ventricular septal defect with bidirectional shunting and pulmonary hypertension. Cardiovascular operation was declined; therefore, a post-infarction ventricular septal defect occluder device was placed across the ventricular septal defect leaving only a tiny residual shunt. The patient had symptomatic improvement after the procedure and had no complications related to the procedure.
Martinez
Matthew W
MW
Division of Cardiovascular Diseases, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.
Singh
Chander P
CP
Mookadam
Farouk
F
D000369:Aged, 80 and over; D006328:Cardiac Catheterization / Q000295:instrumentation*; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000150:complications* / Q000000981:diagnostic imaging; D016896:Treatment Outcome; D014463:Ultrasonography; D018658:Ventricular Septal Rupture / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*