Transcatheter closure of a traumatic VSD in an adult requiring an ASD occluder device.
Traumatic ventricular septal defects (VSD) can occur after blunt or penetrating chest trauma or cardiac procedures. There are few publications reporting the safety and efficacy of transcatheter closure of traumatic VSDs. We report a case of a large VSD resulting from penetrating chest trauma that was not repaired at the initial surgical procedure on the disrupted right ventricle. Because of the late identification of the VSD postoperatively, transcatheter closure after the original surgical procedure was recommended and performed requiring an Amplatzer atrial septal defect occluder device because of defect size and configuration. This case describes the technique and postprocedure imaging leading to a cautionary note regarding VSD closure device techniques.
Suh
William M
WM
Division of Cardiology, University of California, Irvine Medical Center, 101 The City Drive, Building 53, Rt 81, Room 100, Orange, CA 92868, USA. wmsuh@uci.edu
Kern
Morton J
MJ
D000328:Adult; D006328:Cardiac Catheterization / Q000295:instrumentation*; D002932:Cineangiography; D015150:Echocardiography, Doppler; D006335:Heart Injuries / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D006439:Hemodynamics; D006801:Humans; D008297:Male; D055989:Septal Occluder Device; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D054088:Ventricular Septum / Q000293:injuries; D014951:Wounds, Stab / Q000150:complications*