title: [Percutaneous treatment of complex post-myocardial infarction ventricular septal defect: case report and literature review].
abstract: Post-myocardial infarction (MI) ventricular septal defects (VSD) are a rare but life-threatening complication of acute MI, with very high mortality rates even if timely approached by surgical repair. Transcatheter closure is an attractive alternative to surgery. However, this option is currently deemed challenging and often unsuitable in complex VSD. We report the case of a young woman in poor hemodynamic conditions due to a complex post-MI VSD. A two-step percutaneous VSD closure was successfully performed adopting a patient-tailored approach based on a throughout knowledge of the anatomic and functional picture using both commercially available dedicated and off-label devices.
authors.affiliation: Dipartimento di Scienze Cardiotoraciche, Seconda Università degli Studi, AORN dei Colli, Ospedale Monaldi, Napoli.
authors.forename: Elisabetta
authors.initials: E
authors.lastname: Moscarella
authors.affiliation: Dipartimento di Scienze Cardiotoraciche, Seconda Università degli Studi, AORN dei Colli, Ospedale Monaldi, Napoli.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Santoro
authors.affiliation: Dipartimento di Scienze Cardiotoraciche, Seconda Università degli Studi, AORN dei Colli, Ospedale Monaldi, Napoli.
authors.forename: Gianpiero
authors.initials: G
authors.lastname: Gaio
authors.affiliation: Dipartimento di Scienze Cardiotoraciche, Seconda Università degli Studi, AORN dei Colli, Ospedale Monaldi, Napoli.
authors.forename: Teresa
authors.initials: T
authors.lastname: Palladino
authors.affiliation: Dipartimento di Scienze Cardiotoraciche, Seconda Università degli Studi, AORN dei Colli, Ospedale Monaldi, Napoli.
authors.forename: Angelo Fabio
authors.initials: AF
authors.lastname: D'Aiello
authors.affiliation: Dipartimento di Scienze Cardiotoraciche, Seconda Università degli Studi, AORN dei Colli, Ospedale Monaldi, Napoli.
authors.forename: Heba Talat
authors.initials: HT
authors.lastname: Mahmoud
authors.affiliation: Dipartimento di Scienze Cardiotoraciche, Seconda Università degli Studi, AORN dei Colli, Ospedale Monaldi, Napoli.
authors.forename: Maurizio
authors.initials: M
authors.lastname: Cappelli Bigazzi
authors.affiliation: Dipartimento di Scienze Cardiotoraciche, Seconda Università degli Studi, AORN dei Colli, Ospedale Monaldi, Napoli.
authors.forename: Maria Giovanna
authors.initials: MG
authors.lastname: Russo
mesh_terms: D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications; D019919:Prosthesis Implantation / Q000379:methods; D055989:Septal Occluder Device