Successful transcatheter closure of a postmyocardial infarction ventricular septal rupture in a patient rejected for cardiac surgery: usefulness of transesophageal echocardiography.
Acute ventricular septal rupture is a high-risk complication of myocardial infarction. Although early surgical treatment improves the prognosis of this condition, hospital mortality after emergency surgery ranges from 10% to 60%. Transcatheter closure is an established method of treating selected congenital septal defects; less experience exists regarding its usefulness for postmyocardial infarction ventricular septal defect. We report a case of successful transcatheter closure of a postmyocardial infarction ventricular septal defect with a septal occluder in a 71-year-old patient rejected for surgery.
Perez-David
Esther
E
Cardiology Department, Hospital Gregorio Marañón, Madrid, Spain. eperezdavid@gmail.com
Garcia Fernandez
Miguel Angel
MA
García
Eulogio
E
Gomez de Diego
Jose Juan
JJ
García Robles
Jose Antonio
JA
Fernandez-Aviles
Francisco
F
D000368:Aged; D006348:Cardiac Surgical Procedures; D002404:Catheterization / Q000379:methods*; D017548:Echocardiography, Transesophageal / Q000379:methods*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy; D016896:Treatment Outcome; D018658:Ventricular Septal Rupture / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy*