title: Successful device closure of a post-infarction ventricular septal defect.
abstract: Ventricular septal defect (VSD) is a lethal complication of myocardial infarction. The event occurs 2-8 days after an infarction and patients should undergo emergency surgical treatment. We report on successful device closure of post-infarction VSD. A previously healthy 66-year-old male was admitted with aggravated dyspnea. Echocardiography showed moderate left ventricular (LV) systolic dysfunction with akinesia of the left anterior descending (LAD) territory and muscular VSD size approximately 2 cm. Coronary angiography showed mid-LAD total occlusion without collaterals. Without percutaneous coronary intervention due to time delay, VSD repair was performed. However, a murmur was heard again and pulmonary edema was not controlled 3 days after the operation. Echocardiography showed remnant VSD, and medical treatment failed. Percutaneous treatment using a septal occluder device was decided on. After the procedure, heart failure was controlled and the patient was discharged without complications. This is the first report on device closure of post-infarction VSD in Korea.
authors.affiliation: Division of Cardiology, Department of Medicine, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Republic of Korea.
authors.forename: Si-Wan
authors.initials: SW
authors.lastname: Choi
authors.affiliation: Division of Cardiology, Department of Medicine, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Republic of Korea.
authors.forename: Ji Hye
authors.initials: JH
authors.lastname: Han
authors.affiliation: Division of Cardiology, Department of Medicine, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Republic of Korea.
authors.forename: Seon-Ah
authors.initials: SA
authors.lastname: Jin
authors.affiliation: Division of Cardiology, Department of Medicine, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Republic of Korea.
authors.forename: Mijoo
authors.initials: M
authors.lastname: Kim
authors.affiliation: Division of Cardiology, Department of Medicine, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Republic of Korea.
authors.forename: Jae-Hwan
authors.initials: JH
authors.lastname: Lee
authors.affiliation: Division of Cardiology, Department of Medicine, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Republic of Korea.
authors.forename: Jin-Ok
authors.initials: JO
authors.lastname: Jeong
mesh_terms: D000368:Aged; D006345:Heart Septal Defects, Ventricular / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000473:pathology*; D055989:Septal Occluder Device
keywords: heart septal defects; myocardial infarction; septal occluder device; ventricular septal defect