Cor Vasa 2004, 45(5):227-230

Percutaneous closure of postmyocardial infarction ventricular septal defect with the Amplatz septal occluder (a method of future or "fall-back")

Radovan Jirmář^1,*, Jozef Mašura², Petr Widimský¹

¹ Kardiocentrum, Fakultní nemocnice Královské Vinohrady a 3. lékařská fakulta Univerzity Karlovy, Praha, Česká republika

² Pediatrická klinika, Lékařská fakulta Univerzity Komenského, Bratislava, Slovenská republika

The incidence of a postinfarction ventricular septal defect (PVSD) is very low (0.2%) in the period of an early percutaneous coronary intervention (PCI) and thrombolysis. This complication is, however, extremely serious and carries high mortality. Percutaneous transcatheter closure of congenital cardiac defects has led to a large body of experience, but as far as the transcatheter closure of PVSD is concerned, clinical experience is minimal. The aim of this study was to show potential problems and difficulties of catheter-based treatment of PVSD patients not recommended for surgical intervention as their operative risk was too high. We report three cases of percutaneous closure of PVSD.

Keywords: Acute myocardial infarction; Complication; Echocardiography; Amplatz septal occluder

Published: May 1, 2004  Show citation