Cor Vasa 2007, 49(3):102-104 | DOI: 10.33678/cor.2007.038
Catheter-based treatment of a complex post-infarction recanalized interventricular septal defect
- Klinika kardiologie, Institut klinické a experimentální medicíny, Praha, Česká republika
Almost as a rule, interventricular septal defect poses a fatal complication during the course of acute myocardial infarction. In the acute phase, it is managed by surgery; related problems include timing of the procedure, high perioperative mortality, and the risk of defect recanalization.
We present the case report of a 55-year-old man with his first myocardial infarction in the presence of single-vessel disease, complicated by interventricular septal rupture. Successful acute surgery was followed by early recanalization of the defect with subsequent re-do surgery at 8 years; however, defect recanalization through a long channel recurred. Our case report describes catheter-based treatment of the defect using an Amplatz occluder.
Keywords: Acute myocardial infarction; Interventricular septal defect; Amplatz occluder
Published: March 1, 2007 Show citation
References
- Holzer R, De Giovanni J, Walsh KP, et al. Transcatheter closure of perimembranous ventricular septal defects using the Amplatzer membranous VSD occluder: Immediate and midterm results of an international registry. Cathet Cardiovasc Inter 2006;68:620-8.
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- Djer MM, Latiff HA, Alwi M. Transcatheter closure of muscular ventricular septal defect using the Amplatzer devices. Heart Lung Circul 2006;15:12-7.
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- Cutfield NJ, Ruygropk PN, Wilson NJ. Transcatheter closure of a complex postmyocardial infarction ventricular septal defect after surgical patch dehiscence. Intern Med J 2006;35:128-30.
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