title: Hemolysis induced by PMIVSD occluder.
abstract: Hemolysis related to occluder, prosthetic valve, and prosthetic ring used for mitral valve annuloplasty are not very unusual. However, hemolysis related to transcathetor closure of post-myocardial infarction ventricular septal defect (PMIVSD) is infrequent. A close follow-up for spontaneous resolution with or without blood transfusion has been reported in a few cases. Occasionally, surgical retrieval is unavoidable or lifelong blood transfusion is required if surgery cannot be done because of higher risk. In this illustration, we have showed a close follow-up of a case of hemolysis induced by atrial septal occluder used for VSD closure after myocardial infarction. Despite successful device closure of PMIVSD which is difficult, a close watch is needed for complications like residual leak, device embolization, and hemolysis.
authors.affiliation: Professor, Department of Cardiology, Nizam's Institute of Medical Sciences, Hyderabad 500082, Telengana, India.
authors.forename: D Sheshagiri
authors.initials: DS
authors.lastname: Rao
authors.affiliation: Associate Professor, Department of Cardiology, Nizam's Institute of Medical Sciences, Hyderabad 500082, Telengana, India. Electronic address: cardioramachandra@gmail.com.
authors.forename: Ramachandra
authors.initials: R
authors.lastname: Barik
authors.affiliation: Assistant Professor, Department of Cardiology, Nizam's Institute of Medical Sciences, Hyderabad 500082, Telengana, India.
authors.forename: Akula
authors.initials: A
authors.lastname: Siva Prasad
mesh_terms: D006328:Cardiac Catheterization; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D004562:Electrocardiography; D005500:Follow-Up Studies; D006345:Heart Septal Defects, Ventricular / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006461:Hemolysis; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications; D011183:Postoperative Complications; D055989:Septal Occluder Device / Q000009:adverse effects*; D013997:Time Factors
keywords: Atrial septal occluder (ASO); Hemolysis; Post-myocardial infarction ventricular septal defect (PMIVSD); Transcathetor closure (TCC)