Transcatheter closures of a postinfarction ventricular septal defect and late ventricular pseudoaneurysm.
An 83-year-old woman with a history of coronary artery disease presented with anterior ST-elevation myocardial infarction. During coronary intervention, she was found to have a ventricular septal rupture, but was felt not to be a surgical candidate due to advanced shock. She was offered transcatheter repair using an Amplatzer post-infarction muscular ventricular septal defect occluder and recovered completely. She was discharged, but returned four months later with chest pain. A cardiac CT and contrast-enhanced echocardiogram revealed a left ventricular pseudoaneurysm. She underwent transcatheter repair using an Amplatzer Vascular Plug II and recovered without further sequelae.
Lin
C Huie
CH
Cardiovascular Division, Department of Medicine, Washington University School of Medicine, 660 S. Euclid Avenue, Campus Box 8086, St. Louis, MO 63110, USA.
Balzer
David
D
Lasala
John
J
D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000628:therapy*; D006328:Cardiac Catheterization / Q000295:instrumentation / Q000379:methods*; D017548:Echocardiography, Transesophageal; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D006352:Heart Ventricles / Q000000981:diagnostic imaging; D006801:Humans; D009203:Myocardial Infarction / Q000150:complications*; D055989:Septal Occluder Device; D016896:Treatment Outcome