title: Device closure of 'complex' postinfarction ventricular septal defect.
abstract: Ventricular septal defect (VSD) is a life-threatening complication of acute myocardial infarction (MI), resulting in high mortality rate even in the case of a timely approach by surgical repair. Transcatheter closure is nowadays a reliable alternative to surgery, although currently deemed challenging or unsuitable in large and complex VSD. This article reports on a successful transcatheter approach in a critically ill patient with subacute right coronary-related, complex postinfarction VSD. In this patient, two sequentially deployed Amplatzer Septal Occluder devices stabilized the clinical conditions and hemodynamic parameters.
authors: aDepartment of Cardiology and Cardiac Surgery, Casa di Cura 'San Michele', Maddaloni, Italy bCardiology, A.O.R.N. 'Ospedali dei Colli', II University of Naples, Naples, Italy.
authors: Fabio
authors: F
authors: Capasso
authors: Aurelio
authors: A
authors: Caruso
authors: Giuseppe
authors: G
authors: Valva
authors: Tommaso
authors: T
authors: Lonobile
authors: Maria G
authors: MG
authors: Grimaldi
authors: Giuseppe
authors: G
authors: Santoro
mesh_terms: D006328:Cardiac Catheterization / Q000295:instrumentation* / Q000379:methods; D006348:Cardiac Surgical Procedures / Q000295:instrumentation* / Q000379:methods; D004452:Echocardiography; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications* / Q000000981:diagnostic imaging; D016896:Treatment Outcome