An Unusual Complication of the Ventricular Septal Defect Closure by Device: Late Right Aortic Cusp Perforation.
Aortic regurgitation (AR) is a rare complication of transcatheter closure of perimembranous ventricular septal defects (pmVSD). It results from iatrogenic pinching of the aortic valve by the VSD occluder or perforation by the catheter. It is usually detected during control echocardiography (ECHO). The current study reports the first case of a late AR, which resulted from late right coronary cusp perforation by the VSD occluder. The current manuscript discusses the possible causes of late cusp erosion due to occluder, advantages of early operation in such cases, and an alternative treatment method where the occluder removal is not possible at the operation.
Cukurova University, Faculty of Medicine, Department of Cardiovascular Surgery, Adana, Turkey. Electronic address: mtopcu@cu.edu.tr.
M Sah
MS
Topcuoglu
Cukurova University, Faculty of Medicine, Department of Cardiovascular Surgery, Adana, Turkey.
Atakan
A
Atalay
Cukurova University, Faculty of Medicine, Department of Cardiovascular Surgery, Adana, Turkey.
Ugur
U
Gocen
Cukurova University, Faculty of Medicine, Department of Cardiovascular Surgery, Adana, Turkey.
Yasin
Y
Guzel
Cukurova University, Faculty of Medicine, Department of Cardiovascular Surgery, Adana, Turkey.
Yuksel
Y
Basturk
Cukurova University, Faculty of Medicine, Department of Pediatric Cardiology, Adana, Turkey.
Fadli
F
Demir
D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000293:injuries*; D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D006328:Cardiac Catheterization / Q000009:adverse effects*; D002648:Child; D006345:Heart Septal Defects, Ventricular / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D014463:Ultrasonography
Aortic regurgitation; Aortic valve; Occluder; Transcatheter closure; Ventricular septal defect