Transcatheter Closure of Postinfarction Ventricular Septal Defect: A Case Report and Review of Literature

• Main Authors: Shabestari Mahmood M., Ghaderi Fereshteh, Hamedanchi Ali
• Format: Article
• Language: English
• Published: Tabriz University of Medical Sciences 2015-06-01
• Series: Journal of Cardiovascular and Thoracic Research
• Subjects: Myocardial Infarction; Ventricular Septal Rupture; Interventional Closure
• Online Access: http://journals.tbzmed.ac.ir/JCVTR/PDF/JCVTR-7-75.pdf

Ventricular septal rupture (VSR) is an uncommon but serious complication of acute myocardial infarction (MI), associated with a high mortality rate. Although early surgical treatment improves the prognosis, hospital mortality after emergency surgery remains high. Transcatheter closure ofpostmyocardial infarction ventricular septal defect (PIVSD) has emerged as a potential strategyin selected cases. Current interventional reports are mainly restricted to PIVSD closure in thechronic and subacute setting, which only give a short term result. Herein, we report a case of acute post-MI VSR that was successfully closed using an Amplatzer postinfarction muscular ventricular septal defect (PIMVSD) occluder device with good immediate and long-term outcomes. The patient had undergone urgent coronary artery bypass surgery 3 days earlier in the setting of acute MI.