Percutaneous closure of an iatrogenic ventricular septal defect following concomitant septal myectomy at the time of aortic valve replacement.
A 77-year-old female patient underwent aortic valve replacement (AVR) with concomitant septal myectomy and tricuspid annuloplasty. Her symptoms did not improve after a successful operation. Echocardiogram demonstrated the presence of an iatrogenic ventricular septal defect (VSD). It was muscular in location and not the usual AVR with membraneous type of VSD, suggesting a complication from the myectomy. Percutaneous closure of the VSD remained the only feasible option due to her poor overall medical status. A 14-mm Amplazter VSD occluder was deployed successfully, by means of the trans-septal technique. She has improved very well postoperatively.
Department of Internal Medicine, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea.
Il Hwan
IH
Ryu
Department of Internal Medicine, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea.
Won Ho
WH
Kim
Department of Internal Medicine, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea.
Ah Jeong
AJ
Ryu
Department of Internal Medicine, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea.
Min Gyu
MG
Kim
Department of Internal Medicine, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea.
Jae Woong
JW
Jeon
Department of Internal Medicine, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea.
Joo Seok
JS
Kim
Department of Internal Medicine, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea.
Jae Joon
JJ
Lee
Division of Thoracic and Cardiovascular Surgery, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea.
Jin Ho
JH
Choi
Heart septal defects; Septal occluder device