A hybrid approach in the treatment of post-myocardial infarction ventricular septal defect.
Development of ventricular septal defect (VSD) is a rare but serious complication of transmural myocardial infarction (MI). The incidence of post-MI VSDs is reduced significantly with thrombolytic therapy, yet mortality remains high. Surgical repair is difficult and can be complicated by a recurrent VSD in some cases. Percutaneous catheter-based closure techniques can be used to treat these patients. This case report demonstrates the successful application of a hybrid approach utilizing initial surgical and subsequent percutaneous techniques for the recurrence in the treatment of a post-MI VSD.
Gulkarov
Iosif M
IM
Department of Cardiothoracic Surgery, New York Presbyterian Hospital-Weill Cornell Medical College, New York 10065, USA.
Anez-Bustillos
Lorenzo
L
Wong
S Chiu
SC
Salemi
Arash
A
D000368:Aged; D006328:Cardiac Catheterization / Q000379:methods; D013504:Cardiovascular Surgical Procedures / Q000379:methods*; D001026:Coronary Artery Bypass; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D009203:Myocardial Infarction / Q000150:complications* / Q000601:surgery; D055989:Septal Occluder Device; D013529:Surgical Wound Dehiscence / Q000175:diagnosis / Q000628:therapy; D016896:Treatment Outcome