Early Amplatzer occluder closure of a postinfarct ventricular septal defect as a bridge to surgical procedure.
The management of postinfarction ventricular septal defects represents a challenge to both cardiologists and surgeons due to the high morbidity and mortality rate. We report the case of a 79-year-old patient who developed an apical rupture of the ventricular septum, nine days after an anterior myocardial infarction. As the patient was in cardiogenic shock and developed acute pulmonary edema we chose to perform a percutaneous closure of the septal defect using an Amplatzer occluder (AO). Despite the incomplete closure, the placement of the device greatly improved the patient's clinical condition allowing the delay of the surgical procedure, which could be performed ten days later with an excellent result.
Department of Cardiac Surgery, Grenoble University Hospital, Grenoble, France.
Victor S
VS
Costache
Olivier
O
Chavanon
Hélène
H
Bouvaist
Dominique
D
Blin
D000368:Aged; D006328:Cardiac Catheterization; D005260:Female; D006342:Heart Rupture, Post-Infarction / Q000601:surgery / Q000628:therapy*; D006801:Humans; D019736:Prostheses and Implants; D018658:Ventricular Septal Rupture / Q000601:surgery / Q000628:therapy*