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

Shabestari MM, Ghaderi F, Hamedanchi A - J Cardiovasc Thorac Res (2015)

Bottom Line: 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.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.

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Affiliation: Atherosclerosis Prevention Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

ABSTRACT
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 of postmyocardial infarction ventricular septal defect (PIVSD) has emerged as a potential strategy in selected cases. Current interventional reports are mainly restricted to PIVSD closure in the chronic 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.

No MeSH data available.


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Mentions: Both TEE (Figure 2B) and left ventriculography (Figure 3) confirmed good placement of the device with no detectable residual shunt, demonstrating good device size selection. The patient showed immediate significant symptomatic improvement. He was transferred to the coronary care unit, and discharged seven days later. As of the date of this case report, the patient is alive and feeling well with no residual shunt detected by transthoracic echocardiography. No procedure-related complications have been recorded during these six years.


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

Shabestari MM, Ghaderi F, Hamedanchi A - J Cardiovasc Thorac Res (2015)

© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4492183&req=5

Mentions: Both TEE (Figure 2B) and left ventriculography (Figure 3) confirmed good placement of the device with no detectable residual shunt, demonstrating good device size selection. The patient showed immediate significant symptomatic improvement. He was transferred to the coronary care unit, and discharged seven days later. As of the date of this case report, the patient is alive and feeling well with no residual shunt detected by transthoracic echocardiography. No procedure-related complications have been recorded during these six years.

Bottom Line: 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.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.

View Article: PubMed Central - HTML - PubMed

Affiliation: Atherosclerosis Prevention Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

ABSTRACT
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 of postmyocardial infarction ventricular septal defect (PIVSD) has emerged as a potential strategy in selected cases. Current interventional reports are mainly restricted to PIVSD closure in the chronic 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.

No MeSH data available.


Related in: MedlinePlus