title: Transcatheter closure of postinfarction ventricular septal defect using the Amplatzer atrial septal defect occluder.
abstract: Rupture of the interventricular septum is a rare and life-threatening complication of acute myocardial infarction. Postmyocardial infarction, ventricular septal defect is associated with very high morbidity and mortality. The therapy of this complication is the surgical closure. The Amplatzer occluder is currently used to close percutaneously atrial septal defect, patent foramen ovale, and selected congenital ventricular septal defect. Few cases are described regarding transcatheter closure of a postinfarction ventricular septal defect. Here we report a case of a large postinfarction ventricular septal defect successfully closed with Amplatzer multifenestrated atrial septal defect occluder device because of its peculiar anatomical characteristics.
authors.affiliation: Interventional Cardiology, Silvestrini Hospital, University of Perugia, School of Medicine, Perugia, Italy. lab.emodinamica@ospedale.perugia.it
authors.forename: Claudio
authors.initials: C
authors.lastname: Giombolini
authors.forename: Salvatore
authors.initials: S
authors.lastname: Notaristefano
authors.forename: Stefano
authors.initials: S
authors.lastname: Santucci
authors.forename: Federico
authors.initials: F
authors.lastname: Fortunati
authors.forename: Ketty
authors.initials: K
authors.lastname: Savino
authors.forename: Francesco
authors.initials: F
authors.lastname: Notaristefano
authors.forename: Gennaro
authors.initials: G
authors.lastname: Santoro
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Ambrosio
mesh_terms: D000369:Aged, 80 and over; D006328:Cardiac Catheterization; D004452:Echocardiography; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000150:complications*; D019736:Prostheses and Implants; D018658:Ventricular Septal Rupture / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology / Q000628:therapy*